Provider Demographics
NPI:1447398599
Name:ALLERGY & ASTHMA INC
Entity Type:Organization
Organization Name:ALLERGY & ASTHMA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HIRESADARAHALLI
Authorized Official - Middle Name:C
Authorized Official - Last Name:NATARAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:614-864-2736
Mailing Address - Street 1:5965 E BROAD ST STE 320
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1562
Mailing Address - Country:US
Mailing Address - Phone:614-864-2736
Mailing Address - Fax:614-864-3061
Practice Address - Street 1:5965 E BROAD ST STE 320
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1562
Practice Address - Country:US
Practice Address - Phone:614-864-2736
Practice Address - Fax:614-864-3061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2008-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0153060Medicaid
OH030005113OtherRAILROAD MEDICARE
OH9309363Medicare PIN
OH9309361Medicare PIN
OH4019672Medicare PIN
OH0153060Medicaid
OH0781919Medicare PIN
OH030005113OtherRAILROAD MEDICARE
OH9309364Medicare PIN
OH4019671Medicare PIN
OH0781918Medicare PIN