Provider Demographics
NPI:1215563218
Name:SMITH, JOSHUA ABRAHAM (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ABRAHAM
Last Name:SMITH
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 1:311 ALBERT SABIN WAY
Mailing Address - Street 2:0559
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-2838
Mailing Address - Country:US
Mailing Address - Phone:513-585-7700
Mailing Address - Fax:513-558-8838
Practice Address - Street 1:311 ALBERT SABIN WAY
Practice Address - Street 2:0559
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-2838
Practice Address - Country:US
Practice Address - Phone:513-585-7700
Practice Address - Fax:513-558-8838
Is Sole Proprietor?:No
Enumeration Date:2020-03-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program