Provider Demographics
NPI:1942266929
Name:KOMROKJI, RAMI SALAH-EDDIN (MD)
Entity Type:Individual
Prefix:
First Name:RAMI
Middle Name:SALAH-EDDIN
Last Name:KOMROKJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 VICTORY PKWY
Mailing Address - Street 2:STE 310
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-3700
Mailing Address - Country:US
Mailing Address - Phone:513-245-3444
Mailing Address - Fax:513-245-3449
Practice Address - Street 1:222 PIEDMONT AVE
Practice Address - Street 2:STE STE 4000
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-4231
Practice Address - Country:US
Practice Address - Phone:513-475-8500
Practice Address - Fax:513-475-8510
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-078590207R00000X, 207RH0000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2341200Medicaid
KY64090111Medicaid
OHP00412760OtherRAIL ROAD MEDICARE
IN200498730Medicaid
OHP00412760OtherRAIL ROAD MEDICARE
OH2341200Medicaid