Individual
DR. IRFAN FIRDAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11140 MONTGOMERY RD, CINCINNATI, OH 45249-2309
(513) 564-8580
(513) 564-8584
Mailing address
11140 MONTGOMERY RD, CINCINNATI, OH 45249-2309
(513) 564-8580
(513) 564-8584
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
02006173A
IN
207RX0202X
Medical Oncology Physician
Primary
34-007163
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200468060
—
IN
05
—
2276853
—
OH
05
—
64078751
—
KY
Enumeration date
08/26/2005
Last updated
03/25/2021
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