Healthcare Provider Details

I. General information

NPI: 1801856661
Provider Name (Legal Business Name): ALAN P ALTMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 09/10/2020
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 RAY NORRISH DR
CINCINNATI OH
45246-1520
US

IV. Provider business mailing address

4685 FOREST AVE
CINCINNATI OH
45212-3397
US

V. Phone/Fax

Practice location:
  • Phone: 513-671-7700
  • Fax: 513-671-5435
Mailing address:
  • Phone: 513-853-4722
  • Fax: 513-852-8525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberBA1531171
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: