MEDICARE: ALEXANDER LEE BINGCANG D.O.

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	207Q00000X	Family Medicine Physician	34.009634	OH

General Provider Information

NPI Number	:	1538237656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER LEE BINGCANG D.O.

Provider Business Mailing Address
First Line	:	212 CROWNE POINT PL STE 103
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-5426
Country	:	US
Telephone Number	:	513-326-2890
Fax Number	:	513-326-2891

Provider Business Practice Location Address
First Line	:	212 CROWNE POINT PL STE 103
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-5426
Country	:	US
Telephone Number	:	513-326-2890
Fax Number	:	513-326-2891

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

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	11/01/2023

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