Healthcare Provider Details

I. General information

NPI: 1821197310
Provider Name (Legal Business Name): STEVEN AMOILS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 E GALBRAITH RD
CINCINNATI OH
45236-2268
US

IV. Provider business mailing address

3200 BURNET AVE 1 RIDGEWAY
CINCINNATI OH
45229-3019
US

V. Phone/Fax

Practice location:
  • Phone: 513-791-5521
  • Fax: 513-791-5531
Mailing address:
  • Phone: 513-585-9009
  • Fax: 513-585-9373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35-059500
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: