MEDICARE: OLGA DUARTE 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	207R00000X	Internal Medicine Physician	35055672	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	:	1356311484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLGA DUARTE MD

Provider Business Mailing Address
First Line	:	8000 5 MILE RD
Second Line	:	SUITE 103
City	:	CINCINNATI
State	:	OH
Zip	:	45230-2163
Country	:	US
Telephone Number	:	513-231-1671
Fax Number	:	513-231-1642

Provider Business Practice Location Address
First Line	:	8000 5 MILE RD
Second Line	:	SUITE 103
City	:	CINCINNATI
State	:	OH
Zip	:	45230-2163
Country	:	US
Telephone Number	:	513-231-1671
Fax Number	:	513-231-1642

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	10/23/2007

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Directions to “ OLGA DUARTE MD” Practice Location

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