Individual
DR. LAILA IBRAHIM GOMAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8120 GARNET DR, DAYTON, OH 45458-2141
(937) 291-2511
(937) 291-2523
Mailing address
8120 GARNET DR, DAYTON, OH 45458-2141
(937) 291-2511
(937) 291-2523
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35068963G
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020807
ANTHEM
—
05
—
2032982
—
OH
01
—
311570738026
CARESOURCE
—
Enumeration date
07/26/2005
Last updated
04/09/2008
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