Facts
- Status
- A
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2010-06-21
- Last updated
- 2019-11-24
Specialties
Licenses
- License OH
- 35.121887
Location
- Practice location
- 3300 MERCY HEALTH BLVD
- City
- CINCINNATI OH
- Postal code
- 452111103
- Phone
- 513-215-0340
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.