Individual
DR. AUDRIUS RUKSENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3572 FAWNRUN DR, CINCINNATI, OH 45241-3832
(513) 889-9902
(513) 793-0729
Mailing address
PO BOX 635739, CINCINNATI, OH 45263-5739
(513) 889-9902
(513) 793-0729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35074672
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
35-074672
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2123357
—
OH
01
—
P00337066
RAILROAD MEDICARE
OH
01
—
P00411495
RR MEDICARE
OH
Enumeration date
05/17/2006
Last updated
04/25/2013
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