Individual
MOHAMED A EFFAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 475-8521
(513) 475-7480
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3104
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-087097
OH
207RC0000X
Cardiovascular Disease Physician
35-087097
OH
207RI0011X
Interventional Cardiology Physician
Primary
35 087097
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200542610
—
IN
05
—
2611294
—
OH
05
—
64121635
—
KY
01
—
P00297328
RAIL ROAD MEDICARE
OH
Enumeration date
04/20/2006
Last updated
06/21/2017
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