Healthcare Provider Details

I. General information

NPI: 1760585574
Provider Name (Legal Business Name): YABIZ SEDGHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4760 E GALBRAITH RD STE 205
CINCINNATI OH
45236-6704
US

IV. Provider business mailing address

4760 E GALBRAITH RD STE 205
CINCINNATI OH
45236-6704
US

V. Phone/Fax

Practice location:
  • Phone: 513-985-0741
  • Fax: 513-985-0748
Mailing address:
  • Phone: 513-985-0741
  • Fax: 513-985-0748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number46716
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number34550
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number01097596A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number34550
License Number StateAL
# 5
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number46716
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: