Provider Demographics
NPI:1508071366
Name:BAYOMI, AHMED (MD)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:BAYOMI
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 1:6394 THORNBERRY CT
Mailing Address - Street 2:SUITE 820
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7810
Mailing Address - Country:US
Mailing Address - Phone:513-492-8541
Mailing Address - Fax:513-492-8542
Practice Address - Street 1:6394 THORNBERRY CT
Practice Address - Street 2:SUITE 820
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7810
Practice Address - Country:US
Practice Address - Phone:513-492-8541
Practice Address - Fax:513-492-8542
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.09572207Q00000X
OH35.092572207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2881314Medicaid
OH4250516Medicare Oscar/Certification
OH4250517Medicare Oscar/Certification
OH2881314Medicaid