Provider Demographics
NPI:1487945093
Name:JHAMB, SUNITA (DMD)
Entity type:Individual
Prefix:DR
First Name:SUNITA
Middle Name:
Last Name:JHAMB
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:SUNITA
Other - Middle Name:
Other - Last Name:PARAGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:2356 PARK AVE
Mailing Address - Street 2:UNIT 44
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-2764
Mailing Address - Country:US
Mailing Address - Phone:270-996-1073
Mailing Address - Fax:
Practice Address - Street 1:2356 PARK AVE
Practice Address - Street 2:UNIT 44
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-2764
Practice Address - Country:US
Practice Address - Phone:270-996-1073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-29
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.023408122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPENDINGMedicaid