Healthcare Provider Details
I. General information
NPI: 1689755340
Provider Name (Legal Business Name): ELIZABETH GUILHON DE ARAUJO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/18/2006
Last Update Date: 09/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3130 HIGHLAND AVE
CINCINNATI OH
45219-2399
US
IV. Provider business mailing address
2830 VICTORY PKWY STE 310
CINCINNATI OH
45206-1785
US
V. Phone/Fax
- Phone: 513-584-4061
- Fax: 513-584-3349
- Phone: 513-245-3444
- Fax: 513-245-3449
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 36106871 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | 36106871 |
| License Number State | IL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 35-091797 |
| License Number State | OH |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | 35-091797 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: