MEDICARE: DR. ROUA AZMEH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0201X	Pediatric Allergy/Immunology Physician	35.124442	OH
2	207K00000X	Allergy & Immunology Physician	35.124442	OH

General Provider Information

NPI Number	:	1285920744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROUA AZMEH MD

Provider Business Mailing Address
First Line	:	5250 FAR HILLS AVE STE 260
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2357
Country	:	US
Telephone Number	:	937-293-4053
Fax Number	:	937-288-8064

Provider Business Practice Location Address
First Line	:	5250 FAR HILLS AVE STE 260
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2357
Country	:	US
Telephone Number	:	937-293-4053
Fax Number	:	937-288-8064

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2011
Last Update Date	:	08/11/2025

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