Individual
DR. RODNEY E. VIVIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4452 EASTGATE BLVD STE 202, CINCINNATI, OH 45245-1584
(513) 232-3070
(513) 232-5794
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-5901
(859) 301-5940
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35041575
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000011245
ANTHEM
OH
01
—
036793000
MAGELLAN
OH
05
—
0401827
—
OH
Enumeration date
06/30/2006
Last updated
01/06/2023
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