Provider Demographics
NPI:1447625413
Name:MONTOYA, ALEESHA M (MD)
Entity type:Individual
Prefix:
First Name:ALEESHA
Middle Name:M
Last Name:MONTOYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALEESHA
Other - Middle Name:
Other - Last Name:FAEHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2162 KINGS MILLS RD
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-2400
Mailing Address - Country:US
Mailing Address - Phone:513-246-2260
Mailing Address - Fax:513-246-2261
Practice Address - Street 1:2162 KINGS MILLS RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-2400
Practice Address - Country:US
Practice Address - Phone:513-246-2260
Practice Address - Fax:513-246-2261
Is Sole Proprietor?:No
Enumeration Date:2015-12-02
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH35134012207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program