Healthcare Provider Details

I. General information

NPI: 1285920744
Provider Name (Legal Business Name): ROUA AZMEH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2011
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 FAR HILLS AVE STE 260
DAYTON OH
45429-2357
US

IV. Provider business mailing address

5250 FAR HILLS AVE STE 260
DAYTON OH
45429-2357
US

V. Phone/Fax

Practice location:
  • Phone: 937-293-4053
  • Fax: 937-288-8064
Mailing address:
  • Phone: 937-293-4053
  • Fax: 937-288-8064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number35.124442
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number35.124442
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: