Individual
GEORGE E. BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4760 E GALBRAITH RD STE 205, CINCINNATI, OH 45236
(513) 985-0741
(513) 985-0748
Mailing address
4760 E GALBRAITH RD STE 205, CINCINNATI, OH 45236-6704
(513) 985-0741
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
35130836
OH
207RC0000X
Cardiovascular Disease Physician
01068537A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
35130836
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200992360
—
IN
01
—
HQ800Z
PTAN
FL
Enumeration date
01/08/2007
Last updated
07/20/2018
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