Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Ash Dermatology, LLC

Organization Dermatology Physician · NPI 1679016745

Blue Ash Dermatology, LLC is a Dermatology Physician in Blue Ash, Ohio. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

9403 Kenwood Rd Ste B100
Blue Ash, OH 45242-6895
Phone: (513) 891-8045
Fax: (513) 891-8110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1679016745
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samir Patel — Owner · (513) 770-4212
NPI enumeratedNovember 22, 2016
Last updated in NPPESMay 24, 2017
Mailing address9403 Kenwood Rd, Ste B100, Blue Ash, OH 45242-6895

Other providers in Blue Ash