Individual ProviderAlia M RadwanStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address128 E Apple St, 3800, Dayton, OH 45409-2902(937) 208-6272PECOS EnrollmentBased on the most recent information from CMS, provider Alia M Radwan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1073870671Provider TypeIndividualFull NameRadwan, Alia MCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date4/19/2012Last Updated4/19/2012Contact InformationPractice LocationPractice Address128 E Apple St, 3800, Dayton, OH 45409-2902Phone(937) 208-6272FaxUnlisted FaxMailing LocationMailing Address128 E Apple St, 3800, Dayton, OH 45409-2902Phone(937) 208-6272FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer