Organization
BLUE ASH DERMATOLOGY, LLC
Active
Organization
BLUE ASH DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR B PATEL MD (OWNER)
(513) 770-4212
Entity
Organization
Contact information
Practice address
9403 KENWOOD RD, STE B100, BLUE ASH, OH 45242-6895
(513) 891-8045
(513) 891-8110
Mailing address
9403 KENWOOD RD, STE B100, BLUE ASH, OH 45242-6895
(513) 891-8045
(513) 891-8110
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209139
—
OH
Enumeration date
11/22/2016
Last updated
05/24/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up