Provider Demographics
NPI:1609640374
Name:DRUMGOOLE, DIA KHARY
Entity Type:Individual
Prefix:MR
First Name:DIA
Middle Name:KHARY
Last Name:DRUMGOOLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 DRAKEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-3023
Mailing Address - Country:US
Mailing Address - Phone:614-356-7182
Mailing Address - Fax:
Practice Address - Street 1:2284 MECCA RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-4513
Practice Address - Country:US
Practice Address - Phone:614-356-7182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRU730586347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle