Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 090945 | OH |
NPI | 1487847489 |
---|---|
Provider Name | Rannie Alsamkari |
First Address | Dayton, OH 45459-4778 |
Second Address | Dayton, OH 45459-4778 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2007 |
Last Update Date | 15/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0535844 | (05) | OH |
2869356 | (05) | OH |