Individual
DR. LEE DAVID SHAFTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11140 MONTGOMERY RD, CINCINNATI, OH 45249
(513) 221-5500
(513) 221-1962
Mailing address
11140 MONTGOMERY RD, CINCINNATI, OH 45249-2309
(513) 221-5500
(513) 221-1962
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-039561
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0892646
MEDICAID
OH
05
—
64861107
—
KY
01
—
JO0729377
MEDICARE
OH
Enumeration date
06/28/2006
Last updated
08/22/2018
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