Healthcare Provider Details

I. General information

NPI: 1689009078
Provider Name (Legal Business Name): AHMED ASIM EL-MOGHRABY M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: AHMED ASIM IBRAHIM ELMAGRABI M.D

II. Dates (important events)

Enumeration Date: 09/05/2013
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2139 AUBURN AVE
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

2139 AUBURN AVE STE 2170
CINCINNATI OH
45219-2989
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-2000
  • Fax:
Mailing address:
  • Phone: 513-585-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35.132341
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number316169
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35132341
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License NumberBP10076991
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: