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Organization
PHYSICIAN ASSOCIATES OF KEMPER,INC
Active
Organization
PHYSICIAN ASSOCIATES OF KEMPER,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADHIKA DONEPUDI M.D. (PRESIDENT)
(513) 671-2902
Entity
Organization
Contact information
Practice address
140 W KEMPER RD, CINCINNATI, OH 45246-2530
(513) 671-2902
Mailing address
5770 KUGLER MILL ROAD, CINCINNATI, OH 45236-2040
(513) 671-2902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35071677D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000357567
ANTHEM
OH
05
—
2103048
—
OH
01
—
301922282004
MEDICAL MUTUAL OF OHIO
OH
01
—
3790099
AETNA
OH
Enumeration date
11/06/2006
Last updated
08/22/2020
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