Provider Demographics
NPI:1548364086
Name:DAHMAN, AYMAN A (MD)
Entity type:Individual
Prefix:
First Name:AYMAN
Middle Name:A
Last Name:DAHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 638269
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-3640
Mailing Address - Country:US
Mailing Address - Phone:440-884-9000
Mailing Address - Fax:
Practice Address - Street 1:6900 PEARL RD STE 300
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3640
Practice Address - Country:US
Practice Address - Phone:440-884-9000
Practice Address - Fax:440-884-4929
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
35059174D174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0955793Medicaid
OH0703046Medicare ID - Type Unspecified
OH0955793Medicaid