Healthcare Provider Details

I. General information

NPI: 1477256717
Provider Name (Legal Business Name): DIKSHA BEDI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6010 S MASON MONTGOMERY RD
MASON OH
45040-3706
US

IV. Provider business mailing address

6010 S MASON MONTGOMERY RD
MASON OH
45040-3706
US

V. Phone/Fax

Practice location:
  • Phone: 513-246-7000
  • Fax:
Mailing address:
  • Phone: 513-246-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.156323
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: