Healthcare Provider Details

I. General information

NPI: 1477495471
Provider Name (Legal Business Name): INDIA SHEREE BYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

77 E WOODBURY DR STE 110
DAYTON OH
45415-2853
US

IV. Provider business mailing address

77 E WOODBURY DR STE 110
DAYTON OH
45415-2853
US

V. Phone/Fax

Practice location:
  • Phone: 937-373-7848
  • Fax:
Mailing address:
  • Phone: 937-373-7848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: