MEDICARE: ANDREW PETER DUKER 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	174400000X	Specialist	35082138	OH
2	2084N0400X	Neurology Physician	35.082138	OH

General Provider Information

NPI Number	:	1780623603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW PETER DUKER 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	:	513-585-5503
Fax Number	:	513-585-5511

Provider Business Practice Location Address
First Line	:	3113 BELLEVUE AVE FL 3
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-3158
Country	:	US
Telephone Number	:	513-475-8730
Fax Number	:	513-475-8033

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	03/23/2021

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