MEDICARE: ROBERT CANTOR 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	35-05-3870	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	1620955	OTHER	OH	UNITED HEALTHCARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	652343	OTHER	OH	AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	000000014321	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1700875366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT CANTOR MD

Provider Business Mailing Address
First Line	:	2830 VICTORY PKWY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-1785
Country	:	US
Telephone Number	:	513-245-3617
Fax Number	:	513-475-7259

Provider Business Practice Location Address
First Line	:	234 GOODMAN ST
Second Line	:	ML 0761
City	:	CINCINNATI
State	:	OH
Zip	:	45267-1000
Country	:	US
Telephone Number	:	513-584-4391
Fax Number	:	513-584-0431

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

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	01/26/2010

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Directions to “ ROBERT CANTOR MD” Practice Location

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