MEDICARE: DR. MICHAEL PAUL OBERDOERSTER 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	2084P0800X	Psychiatry Physician	35053107	OH
2	2084P0805X	Geriatric Psychiatry Physician	35053107	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	:	1083762371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL PAUL OBERDOERSTER M.D.

Provider Business Mailing Address
First Line	:	3630 KENDALL AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-1111
Country	:	US
Telephone Number	:	513-871-3666
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 VICTORY PKWY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-1711
Country	:	US
Telephone Number	:	513-872-5863
Fax Number	:	513-861-1718

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

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	09/11/2025

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Directions to “ DR. MICHAEL PAUL OBERDOERSTER M.D.” Practice Location

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