Provider Demographics
NPI:1326486663
Name:BRAHMBHATT, SAMIR ASHOKKUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMIR
Middle Name:ASHOKKUMAR
Last Name:BRAHMBHATT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3090 MCBRIDE CT
Mailing Address - Street 2:STE B
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-0812
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3090 MCBRIDE CT
Practice Address - Street 2:STE B
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-0812
Practice Address - Country:US
Practice Address - Phone:513-863-8212
Practice Address - Fax:513-785-1753
Is Sole Proprietor?:No
Enumeration Date:2013-06-09
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.133232390200000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program