Healthcare Provider Details

I. General information

NPI: 1811128861
Provider Name (Legal Business Name): DEVIN DADYAR NAMAKY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E BUSINESS WAY STE 200
CINCINNATI OH
45241-2389
US

IV. Provider business mailing address

300 E-BUSINESS WAY SUITE 200 #16966431
CINCINNATI OH
45241
US

V. Phone/Fax

Practice location:
  • Phone: 513-260-7175
  • Fax: 513-880-0681
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberC5558
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number181169
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number01099699A
License Number StateIN
# 4
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number35.096747
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: