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Dr. Hisako M Koizumi, MD
Medical Specialty Clinic/Center in Columbus, Ohio
NPI 1548326275

Hisako M Koizumi is a Medical Specialty Clinic/Center based in Columbus, OH and is specialized in Medical Specialty. Hisako M Koizumi practices in Columbus, OH and has the professional credentials of MD. The NPI Number for Hisako M Koizumi is 1548326275 and holds a License No. 35039915 (Ohio).

The current practice location address for Hisako M Koizumi is 2929 Kenny Rd, Columbus, OH and can be reached out via phone at 614-783-7478 and via fax at 614-293-8552.

Location: 2929 Kenny Rd, Columbus, OH, 43221-2415
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Provider Profile Details
NPI Number
1548326275
Provider Name
Hisako M Koizumi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2929 Kenny Rd, Columbus, OH, 43221-2415
Phone Number
614-783-7478
Fax Number
614-293-8552
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
405814 05 OH
institution
Provider Business Practice Location Address Details
Address
2929 Kenny Rd
City
State
Zip
43221-2415
Phone Number
614-783-7478
Fax Number
614-293-8552
person
Provider Business Mailing Address Details
Address
2929 Kenny Rd
City
State
Zip
43221-2415
Phone Number
614-783-7478
Fax Number
614-293-8552
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
35039915 (Ohio)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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