Provider Demographics
NPI:1548470073
Name:OHIO STATE UNIVERSITY
Entity type:Organization
Organization Name:OHIO STATE UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL SURGERY RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMADREZA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHANINEJAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:412-818-1331
Mailing Address - Street 1:316A MEANS HALL
Mailing Address - Street 2:1654 UPHAM DR
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210
Mailing Address - Country:US
Mailing Address - Phone:614-939-2388
Mailing Address - Fax:614-293-4063
Practice Address - Street 1:316A MEANS HALL
Practice Address - Street 2:1654 UPHAM DR
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210
Practice Address - Country:US
Practice Address - Phone:614-293-8704
Practice Address - Fax:614-293-4063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital