MEDICARE: TASNEEM KALEEM 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
1	2085R0001X	Radiation Oncology Physician	ME129948	FL
2	2085R0001X	Radiation Oncology Physician	35.137358	OH

General Provider Information

NPI Number	:	1790197325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TASNEEM KALEEM MD

Provider Business Mailing Address
First Line	:	4685 FOREST AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-3397
Country	:	US
Telephone Number	:	513-853-4721
Fax Number	:

Provider Business Practice Location Address
First Line	:	3035 HAMILTON MASON RD STE 204
Second Line	:
City	:	FAIRFIELD TOWNSHIP
State	:	OH
Zip	:	45011-5545
Country	:	US
Telephone Number	:	513-865-1223
Fax Number	:

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

Provider Enumeration Date	:	06/02/2014
Last Update Date	:	09/05/2019

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