Provider Demographics
NPI:1285735076
Name:AZMEH, RAMZIEH (MD)
Entity type:Individual
Prefix:
First Name:RAMZIEH
Middle Name:
Last Name:AZMEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5250 FAR HILLS AVE
Mailing Address - Street 2:SUITE 260
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45429-2382
Mailing Address - Country:US
Mailing Address - Phone:937-293-4168
Mailing Address - Fax:937-293-2235
Practice Address - Street 1:5250 FAR HILLS AVE
Practice Address - Street 2:SUITE 260
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45429-2382
Practice Address - Country:US
Practice Address - Phone:937-293-4168
Practice Address - Fax:937-293-2235
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.070602208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2540530Medicaid
OH2540530Medicaid