Provider Demographics
NPI:1225385693
Name:ELKOSSEIFI, MYRIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:MYRIAM
Middle Name:
Last Name:ELKOSSEIFI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6949 GOOD SAMARITAN DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-5206
Mailing Address - Country:US
Mailing Address - Phone:513-246-1900
Mailing Address - Fax:513-853-7894
Practice Address - Street 1:6949 GOOD SAMARITAN DR STE 200
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-5206
Practice Address - Country:US
Practice Address - Phone:513-246-1900
Practice Address - Fax:513-853-7894
Is Sole Proprietor?:No
Enumeration Date:2012-08-05
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK31194207RE0101X
PAMD459698207RE0101X
OH35.146971207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism