Provider Demographics
NPI:1013796960
Name:HEALTH SCREEN OF GREATER DAYTON, LLC
Entity type:Organization
Organization Name:HEALTH SCREEN OF GREATER DAYTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:
Authorized Official - Last Name:KORAYM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-988-0022
Mailing Address - Street 1:2365 LAKEVIEW DR STE D
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-3639
Mailing Address - Country:US
Mailing Address - Phone:937-988-0022
Mailing Address - Fax:
Practice Address - Street 1:2365 LAKEVIEW DR STE D
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45431-3639
Practice Address - Country:US
Practice Address - Phone:937-988-0022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty