Individual
DR. GEORGE C KOBERLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 BURNET AVE, ML 5031, CINCINNATI, OH 45229
(513) 636-4251
(513) 636-8145
Mailing address
3333 BURNET AVE, ML 5031, CINCINNATI, OH 45229-3026
(513) 636-4251
(513) 636-8145
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
35.120906
OH
2085R0202X
Diagnostic Radiology Physician
2014-00570
NC
2085R0202X
Diagnostic Radiology Physician
35.120906
OH
2085R0202X
Diagnostic Radiology Physician
4301092934
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205090917
TRICARE
NC
01
—
1205090917
VIRGINIA MEDICAID
VA
05
—
1205090917
—
NC
01
—
1868W
BCBS
NC
01
—
281983
MEDCOST
NC
01
—
4105367
AETNA
NC
01
—
5114457
UNITED HEALTHCARE
NC
01
—
Q70014
SC MEDICAID
SC
Enumeration date
07/11/2008
Last updated
07/11/2018
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