Provider Demographics
NPI:1508849100
Name:TIMBADIA, PARESH J (MD)
Entity Type:Individual
Prefix:
First Name:PARESH
Middle Name:J
Last Name:TIMBADIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PARESH
Other - Middle Name:J
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2760 AIRPORT DR.
Mailing Address - Street 2:SUITE 120
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219
Mailing Address - Country:US
Mailing Address - Phone:614-586-0668
Mailing Address - Fax:614-586-0669
Practice Address - Street 1:2760 AIRPORT DRIVE
Practice Address - Street 2:SUITE 120
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219
Practice Address - Country:US
Practice Address - Phone:614-586-0668
Practice Address - Fax:614-586-0669
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH82953207RC0200X, 207RP1001X
OH35-08-2953207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2428340Medicaid
OH4115973Medicare PIN
OH2428340Medicaid