Mutasim, Diya F.
Mutasim, Diya F. is an individual health care provider with primary practice located at 222 Piedmont Ave , Cincinnati OH 45219-4231. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Mutasim, Diya F. can be contacted via phone (513) 475-7630.Contact Information
Primary practice address
222 Piedmont Ave
Cincinnati OH 45219-4231
Phone: (513) 475-7630
Fax: (513) 475-7636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35.059745 | Ohio |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 35.059745 | Ohio |
Profile Details
| NPI number | 1992759377 |
|---|---|
| LBN Legal business name | Mutasim, Diya F. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jan 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992759377 | NPPES |
| Ohio | Other | 070004743 | RR MEDICARE |
| Ohio | MEDICAID | 0781882 | RR MEDICARE |
| Ohio | MEDICAID | 200038080A | RR MEDICARE |
| Ohio | MEDICAID | 64869787 | RR MEDICARE |
| Ohio | Other | 070004743 | RR MEDICARE |
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