Provider Demographics
NPI:1639583164
Name:CENTRAL OHIO VISITING PHYSICIANS
Entity type:Organization
Organization Name:CENTRAL OHIO VISITING PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:H
Authorized Official - Last Name:ABIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-633-9784
Mailing Address - Street 1:1430 S HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-1045
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:117 N GREENWOOD ST
Practice Address - Street 2:SUITE 4
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-3129
Practice Address - Country:US
Practice Address - Phone:614-542-0935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty