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NPI Code Detail

MEDICARE: GILBERT HAWKINS MAULSBY M.D.

MEDICARE: GILBERT HAWKINS MAULSBY M.D.
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
12085R0202XDiagnostic Radiology Physician35-078428OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669477980
Entity Type Code : Individual
Provider Name (Legal Business Name) : GILBERT HAWKINS MAULSBY M.D.
Provider Business Mailing Address
First Line : 5400 KENNEDY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-2664
Country : US
Telephone Number : 513-281-3400
Fax Number :
Provider Business Practice Location Address
First Line : 5400 KENNEDY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-2664
Country : US
Telephone Number : 513-281-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 04/25/2012

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