Healthcare Provider Details

I. General information

NPI: 1689597437
Provider Name (Legal Business Name): AMENA NAYYER MBBS, DNB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMENA NAYYER IMTIAZ ANSARI MBBS, DNB

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33333, BURNEY AVE, CINCINNATI CHILDREN'S HOSPITAL MEDIC
CINCINNATI OH
45229
US

IV. Provider business mailing address

3031, EDEN AVENUE APT 357
CINCINNATI OH
45219
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4200
  • Fax:
Mailing address:
  • Phone: 513-356-9065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License Number57.26494
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number57.261494
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: