Basic Information
Provider Information
NPI: 1215193537
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOSEPH-HAYES
FirstName: JYOTHI
MiddleName: MIRIAM
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: JOSEPH
OtherFirstName: JYOTHI
OtherMiddleName: M
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 4685 FOREST AVE STE C
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452123359
CountryCode: US
TelephoneNumber: 5132467000
FaxNumber:  
Practice Location
Address1: 8240 NORTHCREEK DR
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452362283
CountryCode: US
TelephoneNumber: 5132467000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/06/2008
LastUpdateDate: 01/29/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X125051226ILN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RE0101X4301093844MIN Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
207RE0101XME109421FLN Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
207RE0101X35.125065OHY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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