Mazen Eldadah, M.D., Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

MAZEN ELDADAH, M.D., INC

Practice address

393 E Town St
Suite 118
Columbus, OH 43215-4741

Phone

(614) 228-9900

NPI assigned

Sep 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mazen K Eldadah, M.D.

Title

President

Phone

(614) 228-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1356446371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "# L-2430",
            "address_2": "PO BOX 600001",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432600001",
            "telephone_number": "614-451-8770",
            "fax_number": "614-451-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E TOWN ST",
            "address_2": "SUITE 118",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154741",
            "telephone_number": "614-228-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZEN ELDADAH, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "ELDADAH",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-228-9900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0173753",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giti L. Mayton, LISW
• Danse Elisabeth Mayzes, PA-C
• Maz1 Express LLC
• Alyssa Maze
• Madison Naylor Maze, CT
• Hiba R. Mazhar, MD
• Lubna Mazin, PHARMD
• Ziad Mazloum
• Katherine Mazujian, PHARMD
• Mark J. Mazur, DPM

• Neurology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Neurology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.