Healthcare Provider Details

I. General information

NPI: 1942129507
Provider Name (Legal Business Name): DR. EMAMI INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 BANNING RD
CINCINNATI OH
45239-5251
US

IV. Provider business mailing address

7462 JAGER CT
CINCINNATI OH
45230-4344
US

V. Phone/Fax

Practice location:
  • Phone: 513-923-1500
  • Fax:
Mailing address:
  • Phone: 513-310-5717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number
License Number State

VIII. Authorized Official

Name: KAT J BOHMAN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 513-310-5717