# WAFAA FOAD MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205045143
- **Authorized official:** MRS. LINDA OTTO (OFFICE MANAGER)
- **Authorized official phone:** (513) 984-4565

## Contact information

- **Practice address:** 7730 MONTGOMERY RD, SUITE 200, CINCINNATI, OH 45236-4283
- **Practice address phone:** (513) 984-4565
- **Practice address fax:** (513) 984-5470
- **Mailing address:** 7730 MONTGOMERY RD, SUITE 200, CINCINNATI, OH 45236-4283
- **Mailing address phone:** (513) 984-4565
- **Mailing address fax:** (513) 984-5470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202C00000X | Independent Medical Examiner Physician | 35404494F | OH | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0611949 | — | OH |
