Organization
AJM PROFESSIONAL SERVICES, LLC
Active
Other names
Anna Maddali, MD.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA J MADDALI MD. (PRESIDENT)
(513) 244-8866
Entity
Organization
Contact information
Practice address
10663 LOVELAND MADEIRA RD, SUITE-279, LOVELAND, OH 45140-8965
(513) 244-8866
Mailing address
10663 LOVELAND MADEIRA RD, SUITE-279, LOVELAND, OH 45140-8965
(513) 244-8866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OH35-07-1617
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019130
—
OH
Enumeration date
10/13/2011
Last updated
10/13/2011
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