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NPI Code Detail

MEDICARE: DR. PRASAD R KUDALKAR MD

MEDICARE: DR. PRASAD R KUDALKAR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician35089286OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013094382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRASAD R KUDALKAR MD
Provider Business Mailing Address
First Line : 5053 WOOSTER RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45226-2326
Country : US
Telephone Number : 513-751-2145
Fax Number : 513-751-2138
Provider Business Practice Location Address
First Line : 3050 MACK RD STE 300
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-5376
Country : US
Telephone Number : 513-751-2273
Fax Number : 513-751-1840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 04/19/2021

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Directions to “ DR. PRASAD R KUDALKAR MD” Practice Location

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