Provider Demographics
NPI:1689277394
Name:LAMA, AAGAT
Entity Type:Individual
Prefix:
First Name:AAGAT
Middle Name:
Last Name:LAMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10899 CORONA RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-3640
Mailing Address - Country:US
Mailing Address - Phone:513-652-0252
Mailing Address - Fax:
Practice Address - Street 1:486 DEWDROP CIR APT E
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-3741
Practice Address - Country:US
Practice Address - Phone:513-652-0252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide