Healthcare Provider Details

I. General information

NPI: 1932038312
Provider Name (Legal Business Name): DIABETES ASSOCIATES OF OHIO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 PROBASCO ST
CINCINNATI OH
45220-2710
US

IV. Provider business mailing address

9526 PARK MERIDIAN DR
INDIANAPOLIS IN
46260-1331
US

V. Phone/Fax

Practice location:
  • Phone: 513-281-2464
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMEER HABIB
Title or Position: PRESIDENT
Credential:
Phone: 317-652-9684