Provider Demographics
NPI:1881605194
Name:TAJ-SCHAAL, NAZHAT (MD)
Entity type:Individual
Prefix:
First Name:NAZHAT
Middle Name:
Last Name:TAJ-SCHAAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAZHAT
Other - Middle Name:
Other - Last Name:TAJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-688-7150
Mailing Address - Fax:
Practice Address - Street 1:6515 PULLMAN DR
Practice Address - Street 2:SUITE 2200
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-7380
Practice Address - Country:US
Practice Address - Phone:614-688-7150
Practice Address - Fax:614-688-7155
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.096494207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2246840Medicaid
OH4047501Medicare PIN