Individual
DR. EMAD ALSHAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1060 SUMMIT DRIVE, SUITE B, MIDDLETOWN, OH 45042
(513) 423-4546
(513) 423-4548
Mailing address
1060 SUMMITT DR, SUITE B, MIDDLETOWN, OH 45042-3400
(513) 423-4546
(513) 423-4548
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-084629
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000337326
ANTHEM ID#
OH
01
—
201167053
TAX ID#
OH
01
—
201167053-00
BWC
OH
05
—
2504221
—
OH
01
—
4136191
MEDICARE ID
OH
01
—
P001381B
RAILROAD MEDICARE #
OH
Enumeration date
07/18/2006
Last updated
05/12/2017
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