Basic Information
Provider Information
NPI: 1003013004
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAJANI
FirstName: ASMA
MiddleName: BASEM
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3389
Address2:  
City: WESTERVILLE
State: OH
PostalCode: 430863389
CountryCode: US
TelephoneNumber: 8667274612
FaxNumber: 6304706092
Practice Location
Address1: 109 COMMERCE PARK DR
Address2:  
City: WESTERVILLE
State: OH
PostalCode: 430828349
CountryCode: US
TelephoneNumber: 8442814471
FaxNumber: 6143603509
Other Information
ProviderEnumerationDate: 07/02/2007
LastUpdateDate: 08/22/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X35.0960033OHY Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X5651NEN Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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