NPI 1902346463

Bashir Awl

Practitioner Exclusive Provider Organization Columbus, OH

Practice location

Address: 4130 Adalric Dr, Columbus, OH 43219-6199
Phone: (614) 749-9782

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 201703403310 (OH)

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Registry record

NPI: 1902346463
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2017
Record last updated: 3 Mar 2017

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.