Individual
JONATHAN P. MOAYYAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 PENTAGON BLVD, SUITE 101, BEAVERCREEK, OH 45429-1226
(937) 702-4060
(937) 702-4069
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8493
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35.137168
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0370544
—
OH
Enumeration date
09/17/2014
Last updated
01/12/2021
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