Healthcare Provider Details

I. General information

NPI: 1952498412
Provider Name (Legal Business Name): NADER HUSSEINZADEH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 PIEDMONT AVE 5100
CINCINNATI OH
45219-4231
US

IV. Provider business mailing address

2830 VICTORY PKWY 140
CINCINNATI OH
45206-1785
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8588
  • Fax: 513-475-8598
Mailing address:
  • Phone: 513-245-3108
  • Fax: 513-245-3110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number35-048940
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number25058
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: