Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 24662 | WV |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 35.090281 | OH |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 4301095817 | MI |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME125112 | FL |
NPI | 1154643039 |
---|---|
Provider Name | Dr. Mohi Omer Mitiek |
First Address | Cincinnati, OH 45209-1957 |
Second Address | Cincinnati, OH 45209-1957 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2010 |
Last Update Date | 30/09/2016 |