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NPI Code Detail

MEDICARE: GARY S HUBER MD

MEDICARE: GARY S HUBER 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
1207P00000XEmergency Medicine Physician35004561OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2930059643OTHEROHRAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1437153871
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY S HUBER MD
Provider Business Mailing Address
First Line : 5400 KENNEDY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-2664
Country : US
Telephone Number : 513-924-5300
Fax Number : 513-924-5300
Provider Business Practice Location Address
First Line : 5400 KENNEDY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-2664
Country : US
Telephone Number : 513-924-5300
Fax Number : 513-924-5300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 07/11/2012

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Directions to “ GARY S HUBER MD” Practice Location

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