Provider Demographics
NPI:1326869876
Name:ISAWUMI, MICHAELINE ASUQUO (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAELINE
Middle Name:ASUQUO
Last Name:ISAWUMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHAELINE
Other - Middle Name:ASUQUO
Other - Last Name:ISAWUMI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:626 LEHMAN ST APT 131
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-2493
Mailing Address - Country:US
Mailing Address - Phone:614-808-5044
Mailing Address - Fax:
Practice Address - Street 1:700 CHILDRE'S DRIVE
Practice Address - Street 2:OPHTHALMOLOGY DEPART, EYE CLINIC, OCC
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2664
Practice Address - Country:US
Practice Address - Phone:614-722-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPP000795646207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist