Healthcare Provider Details

I. General information

NPI: 1437187556
Provider Name (Legal Business Name): E MELINDA MAHABEE-GITTENS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE ML 7011
CINCINNATI OH
45229-3039
US

IV. Provider business mailing address

3333 BURNET AVE ML 5021
CINCINNATI OH
45229-3039
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-7966
  • Fax: 513-636-2988
Mailing address:
  • Phone: 513-636-4225
  • Fax: 513-636-2459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number35-07-0093
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: