Provider Demographics
NPI:1841721560
Name:KASSA, MERON HIRPA (MD)
Entity type:Individual
Prefix:
First Name:MERON
Middle Name:HIRPA
Last Name:KASSA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MERON
Other - Middle Name:JITU
Other - Last Name:HIRPA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7335 YANKEE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-1253
Mailing Address - Country:US
Mailing Address - Phone:513-564-6818
Mailing Address - Fax:513-564-6819
Practice Address - Street 1:7335 YANKEE RD STE 201
Practice Address - Street 2:
Practice Address - City:LIBERTY TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45044-1253
Practice Address - Country:US
Practice Address - Phone:513-564-6818
Practice Address - Fax:513-564-6819
Is Sole Proprietor?:No
Enumeration Date:2017-03-23
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.140114207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0411902Medicaid