Basic Information
Provider Information
NPI: 1174531404
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRIMBU
FirstName: VICTOR
MiddleName: PAUL
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 920120
Address2:  
City: DALLAS
State: TX
PostalCode: 753920120
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 6840 PERIMETER DR
Address2:  
City: DUBLIN
State: OH
PostalCode: 430168047
CountryCode: US
TelephoneNumber: 6148278700
FaxNumber: 6148278701
Other Information
ProviderEnumerationDate: 08/03/2006
LastUpdateDate: 08/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XX0005X25.056817OHY Allopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine

ID Information
IDTypeStateIssuerDescription
082464805OH MEDICAID


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