Individual
DR. AUSTIN I. NOBUNAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 487-6055
Mailing address
260 STETSON STREET, ML 0530 SUITE 5200, CINCINNATI, OH 45267-0530
(513) 558-2919
(513) 558-4458
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35-058324
OH
2081P0004X
Spinal Cord Injury Medicine Physician
35-058324
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000012977
ANTHEM
—
05
—
0743771
—
OH
05
—
100352640
—
IN
05
—
64862824
—
KY
Enumeration date
06/18/2006
Last updated
12/12/2018
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