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NPI Code Detail

MEDICARE: HENRY GERAD MD

MEDICARE:   HENRY  GERAD  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
1207RH0003XHematology & Oncology Physician51802OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2900004050OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000213805OTHEROHANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922008457
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRY GERAD MD
Provider Business Mailing Address
First Line : PO BOX 636930
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-0001
Country : US
Telephone Number : 513-981-5015
Fax Number :
Provider Business Practice Location Address
First Line : 803 W MARKET ST
Second Line : SUITE 200
City : LIMA
State : OH
Zip : 45805-2796
Country : US
Telephone Number : 419-222-3737
Fax Number : 419-229-3234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2005
Last Update Date : 08/15/2013

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