Healthcare Provider Details

I. General information

NPI: 1295331890
Provider Name (Legal Business Name): NAHID MADADINIA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2020
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 E DOROTHY LN
KETTERING OH
45420-1176
US

IV. Provider business mailing address

1215 E DOROTHY LN
KETTERING OH
45420-1176
US

V. Phone/Fax

Practice location:
  • Phone: 937-299-8437
  • Fax: 937-299-9036
Mailing address:
  • Phone: 937-299-8437
  • Fax: 937-299-9036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03439365
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: