Healthcare Provider Details

I. General information

NPI: 1114997392
Provider Name (Legal Business Name): ALBERT ALAN CHAMBERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN ST
CINCINNATI OH
45267-1000
US

IV. Provider business mailing address

2830 VICTORY PKWY
CINCINNATI OH
45206-1785
US

V. Phone/Fax

Practice location:
  • Phone: 513-584-7544
  • Fax: 513-584-9100
Mailing address:
  • Phone: 513-245-3617
  • Fax: 513-475-7259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35-02-7550
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: