Healthcare Provider Details

I. General information

NPI: 1649298829
Provider Name (Legal Business Name): PATRICIA K GHORY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7495 STATE RD SUITE 350
CINCINNATI OH
45255-2498
US

IV. Provider business mailing address

7495 STATE RD SUITE 350
CINCINNATI OH
45255-2498
US

V. Phone/Fax

Practice location:
  • Phone: 513-624-1901
  • Fax: 513-624-1905
Mailing address:
  • Phone: 513-624-1901
  • Fax: 513-624-1905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number35052054
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: