Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35.091724 | OH |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 35.091724 | OH |
NPI | 1578695664 |
---|---|
Provider Name | Mr. Sameh Arebi |
First Address | Cincinnati, OH 45211-1106 |
Second Address | Cincinnati, OH 45211-1106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 25/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2822879 | (05) | OH |
P00833434 | MEDICARE RR (01) | OH |