Individual
AMRITA KAUR RODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
Mailing address
PO BOX 837, HAMILTON, OH 45012-0837
(513) 454-1111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006805RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432310
—
OH
Enumeration date
12/15/2020
Last updated
08/12/2025
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