Hasan Adiatu
Individual provider Active NPI Community/Behavioral Health Agency · Columbus, OH
NPI 1922820109 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1922820109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 2323 Lake Club Dr Ste 204
Columbus, OH 43232-3198 - Phone
- (614) 824-2835
- NPI assigned
- Oct 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
2323 Lake Club Dr Ste 204
Columbus, OH 43232-3198
Mailing address
2323 Lake Club Dr Ste 204
Columbus, OH 43232-3198
Phone (614) 824-2835
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All providers in Columbus, OH · Community/Behavioral Health Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.