NPI Code Details Logo

NPI 1598659252

NPI 1598659252 : UMMIZAIN HEALTHCARE LLC : DAYTON, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1598659252
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    UMMIZAIN HEALTHCARE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/06/2025
-----------------------------------------------------
    Last Update Date     |    06/06/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    707 S EDWIN C MOSES BLVD 
-----------------------------------------------------
    City                 |    DAYTON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45417-3462
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    937-234-2606
-----------------------------------------------------
    Fax                  |    937-331-9275
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1416 ASHBURY PARK PL 
-----------------------------------------------------
    City                 |    DAYTON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45458-6404
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    646-671-9284
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     SAMEER  QAMAR 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    646-671-9284
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208M00000X
-----------------------------------------------------
    Taxonomy Name        |    Hospitalist Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.