Individual
DR. PRASAD R KUDALKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3050 MACK RD STE 300, FAIRFIELD, OH 45014-5376
(513) 751-2273
(513) 751-1840
Mailing address
5053 WOOSTER RD, CINCINNATI, OH 45226-2326
(513) 751-2145
(513) 751-2138
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35089286
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201041210
—
IN
05
—
2762685
—
OH
05
—
7100178540
—
KY
Enumeration date
11/01/2006
Last updated
04/19/2021
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