Healthcare Provider Details

I. General information

NPI: 1679924591
Provider Name (Legal Business Name): RANA ELMAGHRABY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2016
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE ML 6015
CINCINNATI OH
45229
US

IV. Provider business mailing address

3333 BURNET AVE ML 6015
CINCINNATI OH
45229
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-0800
  • Fax: 513-803-0823
Mailing address:
  • Phone: 513-636-0800
  • Fax: 513-803-0823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number65242
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number35.149296
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: