Healthcare Provider Details
I. General information
NPI: 1922341585
Provider Name (Legal Business Name): KATHERINE EPSTEIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/02/2013
Last Update Date: 09/29/2023
Certification Date: 09/29/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3333 BURNET AVE, ML 5031 CINCINNATI CHILDREN'S HOSPITAL
CINCINNATI OH
45229-4522
US
IV. Provider business mailing address
1404 HERSCHEL AVE
CINCINNATI OH
45208-2532
US
V. Phone/Fax
- Phone: 513-636-4251
- Fax: 513-636-8145
- Phone: 810-407-0332
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | MD2021-0138 |
| License Number State | NM |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085P0229X |
| Taxonomy | Pediatric Radiology Physician |
| License Number | 50792 |
| License Number State | KY |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085P0229X |
| Taxonomy | Pediatric Radiology Physician |
| License Number | 35.139126 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: