# HAROLD T. PRETORIUS, M.D.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043657489
- **Authorized official:** DR. HAROLD T. PRETORIUS M.D. (PHYSICIAN)
- **Authorized official phone:** (513) 561-3797

## Contact information

- **Practice address:** 103 LANDMARK DR, SUITE 365, BELLEVUE, KY 41073-1393
- **Practice address phone:** (513) 561-3797
- **Practice address fax:** (513) 561-4043
- **Mailing address:** 4743 CORNELL RD, BLUE ASH, OH 45241-2432
- **Mailing address phone:** (513) 561-3797
- **Mailing address fax:** (513) 561-4043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 31919 | KY | Yes |

## Other

- **Enumeration date:** 05/24/2013
- **Last updated:** 12/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 31919 | MEDICAL LICENSE | KY |