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NPI Code Detail

MEDICARE: DR. GERALD A. SHUBS M.D.

MEDICARE: DR. GERALD A. SHUBS 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
12084P0800XPsychiatry Physician35-03-4712-SOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000004248OTHEROHANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982715306
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERALD A. SHUBS M.D.
Provider Business Mailing Address
First Line : 3192 VINEYARD CT
Second Line :
City : MAINEVILLE
State : OH
Zip : 45039-9362
Country : US
Telephone Number : 513-881-7189
Fax Number : 513-881-7188
Provider Business Practice Location Address
First Line : 1490 UNIVERSITY BLVD
Second Line :
City : HAMILTON
State : OH
Zip : 45011-3305
Country : US
Telephone Number : 513-881-7189
Fax Number : 513-881-7188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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