Provider Demographics
NPI:1538127246
Name:SARAF, SMITA ANIL (MD)
Entity Type:Individual
Prefix:DR
First Name:SMITA
Middle Name:ANIL
Last Name:SARAF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 635156
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5156
Mailing Address - Country:US
Mailing Address - Phone:513-569-5074
Mailing Address - Fax:513-569-5084
Practice Address - Street 1:10196 SPRINGFIELD PIKE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-1448
Practice Address - Country:US
Practice Address - Phone:513-771-0800
Practice Address - Fax:513-771-0803
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.083895207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHBS8693740OtherDEA
OHBS8693740OtherDEA
OHI24186Medicare UPIN