Healthcare Provider Details

I. General information

NPI: 1861430530
Provider Name (Legal Business Name): JAMES HANKIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 02/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 MONTGOMERY RD
CINCINNATI OH
45242-4402
US

IV. Provider business mailing address

PO BOX 42468
CINCINNATI OH
45242-0468
US

V. Phone/Fax

Practice location:
  • Phone: 513-984-1443
  • Fax: 513-965-8091
Mailing address:
  • Phone: 513-965-8041
  • Fax: 513-965-8091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberG84537
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberG84537
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: