Individual
PAUL J GUBANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4366
(513) 636-0516
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4366
(513) 636-0516
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
35.084806
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2598318
—
OH
Enumeration date
04/19/2006
Last updated
03/17/2018
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