Provider Demographics
NPI:1710158795
Name:ENT & SINUS INSTITUTE OF OHIO INC
Entity Type:Organization
Organization Name:ENT & SINUS INSTITUTE OF OHIO INC
Other - Org Name:OHIO SINUS INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KARANFILOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-771-9871
Mailing Address - Street 1:5378 AVERY RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-6933
Mailing Address - Country:US
Mailing Address - Phone:614-771-9871
Mailing Address - Fax:614-771-9877
Practice Address - Street 1:5378 AVERY RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-6933
Practice Address - Country:US
Practice Address - Phone:614-771-9871
Practice Address - Fax:614-771-9877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2250988Medicaid