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NPI Code Detail

MEDICARE: UNIVERSITY OF CINCINNATI

MEDICARE: UNIVERSITY OF CINCINNATI
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
1284300000XSpecial Hospital

General Provider Information

NPI Number : 1518419696
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF CINCINNATI
Provider Business Mailing Address
First Line : 4390 CENTENNIAL DR
Second Line : APT 191
City : CINCINNATI
State : OH
Zip : 45227-2657
Country : US
Telephone Number : 216-501-0886
Fax Number :
Provider Business Practice Location Address
First Line : 234 GOODMAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2364
Country : US
Telephone Number : 513-584-1000
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : JASKIRAT SINGH RANDHAWA
Credential :
Telephone Number : 216-501-0886
Provider Enumeration Date : 10/25/2016
Last Update Date : 10/25/2016

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Directions to “UNIVERSITY OF CINCINNATI ” Practice Location

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