Provider Demographics
NPI:1033120621
Name:DONIGIAN, ARAM MOSES (MD)
Entity Type:Individual
Prefix:
First Name:ARAM
Middle Name:MOSES
Last Name:DONIGIAN
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 1:3535 PENTAGON BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-1705
Mailing Address - Country:US
Mailing Address - Phone:937-531-0114
Mailing Address - Fax:937-531-0115
Practice Address - Street 1:3737 SOUTHERN BLVD
Practice Address - Street 2:SUITE 2100
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-1225
Practice Address - Country:US
Practice Address - Phone:937-433-5309
Practice Address - Fax:937-433-1340
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-08-1184-D207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2487107Medicaid
OH349756OtherANTHEM
OH7745555OtherAETNA
OHP00279885OtherMEDICAR ID
OH4132087Medicare ID - Type Unspecified
OH2487107Medicaid
OH4132089Medicare PIN