Individual
MATTHEW LEONARD FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 PIEDMONT AVE, SUITE 3200, CINCINNATI, OH 45219
(513) 475-8730
(513) 475-8033
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35082928
OH
2084N0400X
Neurology Physician
37855
KY
2084V0102X
Vascular Neurology Physician
Primary
35.082928
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2426459
—
OH
01
—
4116803
MEDICARE PTAN
OH
Enumeration date
06/09/2006
Last updated
08/24/2017
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