Provider Demographics
NPI:1750665295
Name:AINA MEDICAL INC.
Entity Type:Organization
Organization Name:AINA MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:RAHELLE
Authorized Official - Last Name:NATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-587-2618
Mailing Address - Street 1:154 ELLIOTT AVE
Mailing Address - Street 2:
Mailing Address - City:PEEBLES
Mailing Address - State:OH
Mailing Address - Zip Code:45660-1028
Mailing Address - Country:US
Mailing Address - Phone:937-587-2618
Mailing Address - Fax:937-587-2288
Practice Address - Street 1:154 ELLIOTT AVE
Practice Address - Street 2:
Practice Address - City:PEEBLES
Practice Address - State:OH
Practice Address - Zip Code:45660-1028
Practice Address - Country:US
Practice Address - Phone:937-587-2618
Practice Address - Fax:937-587-2288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-03
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35063874174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64953763Medicaid
OH0919939Medicaid
F1306Medicare UPIN