Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BO TYLER HEADLAM, M.D.
ActiveDR. BO TYLER HEADLAM, M.D. is a Interventional Vascular Surgery healthcare provider located in PORTSMOUTH, Ohio. NPI 1619939246 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · PORTSMOUTH, OH
Registration Details
- NPI Number
- 1619939246
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2006 (20.367530378151 yrs)
- Last Updated
- Feb 19, 2025
- Licenses
-
25588 (NE)036115263 (IL)25588 (NE)25588 (NE)036115263 (IL)
Practice Information
- Address
-
1735 27TH STWALLER BUILDING, SUITE 302PORTSMOUTH, OH, 456622677Browse OH providers · Browse ZIP 45662
- Phone
- 7403566808
- Fax
- 7403566826
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Pain Medicine (PM&R)
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- Interventional Vascular Surgery
- Additional Specialty
- Interventional Vascular Surgery
Other Interventional Vascular Surgery Providers in PORTSMOUTH, OH
| Name | Credential | NPI |
|---|---|---|
| DR. JAVAID A MALIK | MD | 1114985520 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.