# PRETORIUS AND ROBLES M.D.'S

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

## Provider details

- **NPI number:** 1619901840
- **Authorized official:** DR. HAROLD THOMAS PRETORIUS M.D., PH.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (513) 561-3797

## Contact information

- **Practice address:** 4743 CORNELL RD, CINCINNATI, OH 45241-2432
- **Practice address phone:** (513) 561-3797
- **Mailing address:** 4743 CORNELL RD, CINCINNATI, OH 45241-2432
- **Mailing address phone:** (513) 561-3797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 35.056690 | OH | Yes |
| 207UN0902X | Nuclear Imaging & Therapy Physician | 35.056690 | OH | — |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 12/09/2009

## 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 |