Organization
FADI BAILONY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADI BAILONY (OWNER)
(740) 357-8125
Entity
Organization
Contact information
Practice address
2445 CARDINAL HILL CT, CINCINNATI, OH 45230-1476
(740) 357-8125
Mailing address
2445 CARDINAL HILL CT, CINCINNATI, OH 45230-1476
(740) 357-8125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-08-0473B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2378476
—
OH
01
—
4098644
MEDICARE ID
OH
Enumeration date
09/03/2009
Last updated
09/03/2009
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