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NPI Code Detail

MEDICARE: DAVID GREENBLATT MD

MEDICARE: DAVID GREENBLATT 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
1207RR0500XRheumatology Physician35042180OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00833435OTHEROHMEDICARE RR

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 : 1447241260
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID GREENBLATT MD
Provider Business Mailing Address
First Line : PO BOX 636256
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-6256
Country : US
Telephone Number : 513-585-6200
Fax Number : 513-245-3672
Provider Business Practice Location Address
First Line : 3590 LUCILLE DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-2674
Country : US
Telephone Number : 513-458-1600
Fax Number : 513-458-1984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2005
Last Update Date : 02/16/2023

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