Provider Demographics
NPI:1003980186
Name:AJLOUNI, SAYYAH (MD)
Entity type:Individual
Prefix:
First Name:SAYYAH
Middle Name:
Last Name:AJLOUNI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 EAST CENTRAL AVENUE
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342
Mailing Address - Country:US
Mailing Address - Phone:937-866-2461
Mailing Address - Fax:937-866-5899
Practice Address - Street 1:527 EAST CENTRAL AVENUE
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342
Practice Address - Country:US
Practice Address - Phone:937-866-2461
Practice Address - Fax:937-866-5899
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35070862A207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2152709Medicaid
OHAJ0853471Medicare ID - Type Unspecified
G32461Medicare UPIN