Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35070862A | OH |
N | 111NI0900X | Internist | 35070862A | OH |
Y | 207RC0000X | Internist - Cardiovascular Disease | 35070862A | OH |
NPI | 1003980186 |
---|---|
Provider Name | Sayyah Ajlouni |
First Address | Miamisburg, OH 45342 |
Second Address | Miamisburg, OH 45342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 27/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2152709 | (05) | OH |
G32461 | (02) |