MEDICARE: ROBERT LUKIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	35-02-8382	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	300033836	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1620975	OTHER	OH	UNITED HEALTHCARE
4	000000014007	OTHER	OH	ANTHEM
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	646414	OTHER	OH	AETNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194796029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT LUKIN MD

Provider Business Mailing Address
First Line	:	3200 BURNET AVE
Second Line	:	3 SOUTH
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3019
Country	:	US
Telephone Number	:	513-585-5501
Fax Number	:	513-585-5511

Provider Business Practice Location Address
First Line	:	234 GOODMAN ST
Second Line	:	DEPARTMENT OF RADIOLOGY
City	:	CINCINNATI
State	:	OH
Zip	:	45267-1000
Country	:	US
Telephone Number	:	513-584-7544
Fax Number	:	513-584-9100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	12/27/2012

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Directions to “ ROBERT LUKIN MD” Practice Location

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