Healthcare Provider Details

I. General information

NPI: 1124023437
Provider Name (Legal Business Name): EMILE G. DAOUD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10506A MONTGOMERY ROAD SUITE 301
CINCINNATI OH
45242-4400
US

IV. Provider business mailing address

10506A MONTGOMERY ROAD SUITE 301
CINCINNATI OH
45242-4400
US

V. Phone/Fax

Practice location:
  • Phone: 513-246-2400
  • Fax: 513-246-4047
Mailing address:
  • Phone: 513-246-2400
  • Fax: 513-246-4047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35072303D
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35072303
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number35.072303
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: