MEDICARE: DR. RICK LEE HUM M.D.

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
1	207R00000X	Internal Medicine Physician	035061842	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1063780799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICK LEE HUM M.D.

Provider Business Mailing Address
First Line	:	100 CROWNE POINT PL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-5427
Country	:	US
Telephone Number	:	513-743-7628
Fax Number	:

Provider Business Practice Location Address
First Line	:	6570 SOSNA DR
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-2222
Country	:	US
Telephone Number	:	513-892-4673
Fax Number	:	513-860-1439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2011
Last Update Date	:	10/30/2023

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