Dr. Nervane Tarek Domloj, MD
Anesthesiology in West Chester, OH. Individual provider (NPI-1).
NPI number1790761831
StatusActive
Last updated in NPPESMay 30, 2017
Details
- NPI
- 1790761831
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nervane Tarek Domloj
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 20, 2005
- Last updated
- May 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 35.093999 | OH | Yes |
| 207L00000X | Anesthesiology | 4301081404 | MI |
Practice location
7700 University DrWest Chester, OH 45069-2505
Phone 513-585-5502 · Fax 513-585-5511
Mailing address
Po Box 636256Central Credentialing
Cincinnati, OH 45263-6256
Phone 513-585-5502 · Fax 513-585-5511
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