MEDICARE: DAYTON ALLERGY & ASTHMA CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician

General Provider Information

NPI Number	:	1063226959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAYTON ALLERGY & ASTHMA CARE, LLC

Provider Business Mailing Address
First Line	:	5100 GARDEN SPRINGS CT
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2070
Country	:	US
Telephone Number	:	937-902-6798
Fax Number	:

Provider Business Practice Location Address
First Line	:	5250 FAR HILLS AVE STE 260
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2357
Country	:	US
Telephone Number	:	937-293-4053
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROUA AZMEH
Credential	:	MD
Telephone Number	:	937-293-4053

Provider Enumeration Date	:	02/03/2025
Last Update Date	:	02/03/2025

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