Provider Demographics
NPI:1164318697
Name:WARSAME, WARSAME A (MD)
Entity type:Individual
Prefix:DR
First Name:WARSAME
Middle Name:A
Last Name:WARSAME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4069 ALCANTARA DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-8102
Mailing Address - Country:US
Mailing Address - Phone:614-383-9555
Mailing Address - Fax:
Practice Address - Street 1:4069 ALCANTARA DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-8102
Practice Address - Country:US
Practice Address - Phone:614-383-9555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care