Provider Demographics
NPI:1831999085
Name:TARAWALI, MUSA
Entity type:Individual
Prefix:
First Name:MUSA
Middle Name:
Last Name:TARAWALI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 WINNER AVE # A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43203-1658
Mailing Address - Country:US
Mailing Address - Phone:614-254-0831
Mailing Address - Fax:
Practice Address - Street 1:203 WINNER AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43203-1658
Practice Address - Country:US
Practice Address - Phone:614-254-0831
Practice Address - Fax:614-254-0831
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst