NPI 1023875994
Shamso Yusuf Idd
Practice location
- Address
- 1415 E Dublin Granville Rd STE 203, Columbus, OH 43229-3311
- Phone
- (614) 816-1337
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1023875994
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Mar 2024
- Record last updated
- 6 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.