Blue Ash Dermatology, LLC

NPI #1679016745 in Blue Ash, Ohio

Provider Information

NPI Number: 1679016745
Entity Type: Organization
Organization Name: Blue Ash Dermatology, LLC
Primary Specialty: Dermatology
Enumeration Date: Nov 22, 2016
Last Updated: May 24, 2017

Practice Location

Address: 9403 KENWOOD RD
Address 2: STE B100
City: Blue Ash
State: Ohio
ZIP Code: 45242-6895
Phone: (513) 891-8045

Authorized Official

Name: SAMIR B PATEL, MD
Title: OWNER
Phone: (513) 770-4212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Adult Health — Adult Health	363LA2200X
Nurse Practitioner - Family — Family	363LF0000X
Dermatology	207N00000X	Primary

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