Healthcare Provider Details

I. General information

NPI: 1801800693
Provider Name (Legal Business Name): FRED DOUGLAS FINKELMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 12/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 PIEDMONT AVE STE 6000
CINCINNATI OH
45219
US

IV. Provider business mailing address

2830 VICTORY PKWY STE 310
CINCINNATI OH
45206-3700
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8522
  • Fax: 513-475-7327
Mailing address:
  • Phone: 513-245-3444
  • Fax: 513-245-3449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.068656
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number35.068656
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: