Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY ALEX LISKO, M.D.
DeactivatedDR. BRADLEY ALEX LISKO, M.D. is a Internal Medicine healthcare provider located in WESTERVILLE, Ohio. NPI 1700889003 is deactivated in the NPPES registry. Verify at CMS.
Internal Medicine · WESTERVILLE, OH
This NPI has been deactivated.
The record was deactivated on March 20, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1700889003
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2005 (0.8027397260274 yrs)
- Last Updated
- Apr 29, 2021
- Deactivated
- Mar 20, 2006
- Licenses
-
35063629L (OH)350633629L (OH)
Practice Information
- Address
-
110 POLARIS PKWYSTE 250WESTERVILLE, OH, 430828074Browse OH providers · Browse ZIP 43082
- Phone
- 6148654800
- Fax
- 6148654900
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in WESTERVILLE, OH
| Name | Credential | NPI |
|---|---|---|
| NATALIA PUSHKIN | M.D. | 1861488876 |
| ROYA ZARRABY | M.D. | 1689660698 |
| KIMBERLY A STOCK | M.D. | 1053307827 |
| DR. JENNIFER A HAINES | M.D. | 1043206824 |
| JACQUELINE M AMICO | M.D. | 1487640264 |
| MICHAEL D WALUZAK | M.D. | 1053394601 |
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.