Provider Demographics
NPI:1760500128
Name:ROSAL, DIONISIA (MD)
Entity Type:Individual
Prefix:
First Name:DIONISIA
Middle Name:
Last Name:ROSAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9992 PEBBLEKNOLL DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45252-2108
Mailing Address - Country:US
Mailing Address - Phone:513-931-9600
Mailing Address - Fax:513-931-1898
Practice Address - Street 1:1380 COMPTON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3560
Practice Address - Country:US
Practice Address - Phone:513-931-9600
Practice Address - Fax:513-931-1898
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-039128207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine