Individual
ABDUL WASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 N MAIN ST, STE 101, DAYTON, OH 45415-1180
(937) 832-2425
(937) 832-9804
Mailing address
9000 N MAIN ST, STE 101, DAYTON, OH 45415-1180
(937) 832-2425
(093) 832-9804
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35057815
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35057815
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110749
—
OH
Enumeration date
10/04/2005
Last updated
10/23/2012
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