Healthcare Provider Details

I. General information

NPI: 1073203386
Provider Name (Legal Business Name): TSVIKA RONEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2023
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date: 12/18/2023
Reactivation Date: 12/29/2023

III. Provider practice location address

4777 E GALBRAITH RD
CINCINNATI OH
45236
US

IV. Provider business mailing address

4777 E GALBRAITH RD
CINCINNATI OH
45236
US

V. Phone/Fax

Practice location:
  • Phone: 513-686-3000
  • Fax:
Mailing address:
  • Phone: 513-686-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.155089
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: