MEDICARE: DR. CHARLES H. EGER M.D

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	207R00000X	Internal Medicine Physician	35050671E	OH
2	207R00000X	Internal Medicine Physician	35-050671	OH

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629032925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES H. EGER M.D

Provider Business Mailing Address
First Line	:	1507 SPRINGFIELD PIKE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215
Country	:	US
Telephone Number	:	513-821-3700
Fax Number	:	513-821-4333

Provider Business Practice Location Address
First Line	:	1507 SPRINGFIELD PIKE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215
Country	:	US
Telephone Number	:	513-821-3700
Fax Number	:	513-821-4333

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	05/08/2014

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