Individual
MASOUD JALILVAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10506 MONTGOMERY ROAD #201, BETHASDA NORTH HOSPITAL, CINCINNATI, OH 45242-4415
(513) 376-0928
Mailing address
7000 GIVEN RD, CINCINNATI, CINCINNATI, OH 45243-2838
(513) 830-7595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
88425
OH
208M00000X
Hospitalist Physician
Primary
35.088425
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88425
STATE LISCENCE #
OH
Enumeration date
10/05/2006
Last updated
05/24/2017
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