Basic Information
Provider Information
NPI: 1467682468
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAIKOO
FirstName: HUMA
MiddleName: NABI
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5100 W BROAD ST
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432281607
CountryCode: US
TelephoneNumber: 6143295324
FaxNumber: 6145666953
Practice Location
Address1: 5100 W BROAD ST
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432281607
CountryCode: US
TelephoneNumber: 6145441000
FaxNumber: 6142342772
Other Information
ProviderEnumerationDate: 07/24/2009
LastUpdateDate: 01/05/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X35099740OHY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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