Basic Information
| Provider Information | |||||||||
| NPI: | 1003013004 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DAJANI | ||||||||
| FirstName: | ASMA | ||||||||
| MiddleName: | BASEM | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| 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 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 5651 | NE | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 35.0960033 | OH | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.