Eltay, Iman

Eltay, Iman is an individual health care provider with primary practice located at 8350 Arbor Square Dr , Mason OH 45040-5000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Eltay, Iman can be contacted via phone (513) 346-3399.

Contact Information

Primary practice address
8350 Arbor Square Dr Mason OH 45040-5000
Phone: (513) 346-3399
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA890 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50002267 Ohio

Profile Details

NPI number 1477506947
LBN Legal business name Eltay, Iman
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Aug 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477506947 NPPES
Ohio MEDICAID 0270943
Ohio MEDICAID 7100289930
Ohio MEDICAID 0077588

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