Miremadi, A Reza

Miremadi, A Reza is an sole proprietor health care provider with primary practice located at 576 N Main St , Springboro OH 45066-9552. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Other Service Providers / Specialist is his primary health care specialty. Miremadi, A Reza can be contacted via phone (937) 748-8814.

Contact Information

Primary practice address
576 N Main St Springboro OH 45066-9552
Phone: (937) 748-8814
Fax: (937) 748-8817
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21379 Ohio
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 79671 Ohio

Profile Details

NPI number 1982637922
LBN Legal business name Miremadi, A Reza
Credentials M.D., DDS., LLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2006
Last updated Jan 9th, 2014 - about 11 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 1982637922 NPPES
Ohio MEDICAID 2421132

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