MEDICARE: KONSTANTIN GERMAN 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
1	207RC0000X	Cardiovascular Disease Physician	35.135412	OH
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1093177818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KONSTANTIN GERMAN MD

Provider Business Mailing Address
First Line	:	3219 CLIFTON AVE STE 400
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45220-3049
Country	:	US
Telephone Number	:	513-246-2400
Fax Number	:	513-861-5267

Provider Business Practice Location Address
First Line	:	3219 CLIFTON AVE STE 400
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45220-3049
Country	:	US
Telephone Number	:	513-246-2400
Fax Number	:	513-861-5267

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

Provider Enumeration Date	:	03/22/2016
Last Update Date	:	07/05/2023

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