Individual
IGOR DUMBADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 JOSEPH E SANKER BLVD, CINCINNATI, OH 45212-1979
(513) 841-7400
(513) 841-7402
Mailing address
2000 JOSEPH E SANKER BLVD, CINCINNATI, OH 45212-1979
(513) 841-7400
(513) 841-7402
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35-03-7265
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0276946
—
OH
05
—
0335453
—
OH
01
—
340011144
RAILROAD MEDICARE
OH
05
—
64782683
—
KY
Enumeration date
06/20/2006
Last updated
09/19/2012
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