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Individual

MARIA V. INDIHAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 EDEN AVE, CINCINNATI, OH 45219-4231
(513) 475-8523
(513) 475-7327
Mailing address
P.O. 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 123685
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35 123685
OH
207RP1001X
Pulmonary Disease Physician
35 123685
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0109612
OH
Enumeration date
01/01/2008
Last updated
08/18/2017
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