Provider Demographics
NPI:1972145431
Name:COLUMBUS NEUROSCIENCE LLC
Entity Type:Organization
Organization Name:COLUMBUS NEUROSCIENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:614-964-9500
Mailing Address - Street 1:450 ALKYRE RUN STE 350
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-6912
Mailing Address - Country:US
Mailing Address - Phone:614-314-5991
Mailing Address - Fax:614-859-1213
Practice Address - Street 1:450 ALKYRE RUN STE 350
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-6912
Practice Address - Country:US
Practice Address - Phone:614-314-5991
Practice Address - Fax:614-859-1213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty