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NPI Code Detail

MEDICARE: ROBERTO R SORIA MD

MEDICARE: ROBERTO R SORIA 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
12084P0800XPsychiatry Physician35.068601OH

General Provider Information

NPI Number : 1417020819
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERTO R SORIA MD
Provider Business Mailing Address
First Line : 231 ALBERT SABIN WAY
Second Line : MAIL LOCATION 0559
City : CINCINNATI
State : OH
Zip : 45219
Country : US
Telephone Number : 513-558-3971
Fax Number : 513-558-5390
Provider Business Practice Location Address
First Line : 311 MARTIN LUTHER KING DR E
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2581
Country : US
Telephone Number : 513-475-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 05/06/2024

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