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Organization
PRETORIUS AND ROBLES M.D.'S
Active
Organization
PRETORIUS AND ROBLES M.D.'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD THOMAS PRETORIUS M.D., PH.D. (MEDICAL DIRECTOR)
(513) 561-3797
Entity
Organization
Contact information
Practice address
4743 CORNELL RD, CINCINNATI, OH 45241-2432
(513) 561-3797
Mailing address
4743 CORNELL RD, CINCINNATI, OH 45241-2432
(513) 561-3797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31919
KY
207R00000X
Internal Medicine Physician
35.056690
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
31919
KY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35.056690
OH
207UN0902X
Nuclear Imaging & Therapy Physician
35.056690
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013351
ANTHEMHEALTHPLANSKENTUCKY
KY
05
—
0586094
—
OH
05
—
0764589
—
OH
01
—
110069666
RAILROAD MEDICARE
OH
01
—
1137929
WORKER'S COMPENSATION
OH
01
—
1205826732
NPI PROVIDER NUMBER DR. ALAM
—
01
—
167090543703
HUMANA
OH
01
—
22000000013351
ANTHEMBLUECROSSBLUESHIELD
OH
01
—
31-1180985
TAX ID # DR. ALAM
OH
01
—
4100195
AETNA
OH
01
—
56690
CHOICECARE
OH
05
—
64-869316
—
KY
01
—
P2309187
OXFORD
OH
Enumeration date
07/11/2006
Last updated
12/09/2009
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