Provider Demographics
NPI:1306132402
Name:WARSI, FIZA
Entity type:Individual
Prefix:
First Name:FIZA
Middle Name:
Last Name:WARSI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 DUPONT CIRCLE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2770
Mailing Address - Country:US
Mailing Address - Phone:513-576-7700
Mailing Address - Fax:513-576-1020
Practice Address - Street 1:6535 SNIDER RD
Practice Address - Street 2:UITE 206
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-9588
Practice Address - Country:US
Practice Address - Phone:513-575-1444
Practice Address - Fax:513-575-1451
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-122994207Q00000X
390200000X
OH35.122994207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
5151982OtherDOB