Healthcare Provider Details

I. General information

NPI: 1275754301
Provider Name (Legal Business Name): MORRISON AND AHMAD, MD'S, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 05/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 S ALLISON AVE
XENIA OH
45385-3694
US

IV. Provider business mailing address

215 S ALLISON AVE
XENIA OH
45385-3694
US

V. Phone/Fax

Practice location:
  • Phone: 937-534-0172
  • Fax: 937-534-0166
Mailing address:
  • Phone: 937-534-0172
  • Fax: 937-534-0166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier2206740
Identifier TypeMEDICAID
Identifier StateOH
Identifier Issuer

VIII. Authorized Official

Name: ROBERT MORRISON
Title or Position: PRESIDENT
Credential: MD
Phone: 937-534-0172