Organization
MT. AUBURN NEPHROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHZAD SAFDAR M.D. (PRESIDENT)
(513) 841-0222
Entity
Organization
Contact information
Practice address
8251 PINE ROAD, SUITE 212, CINCINNATI, OH 45236
(513) 841-0222
(513) 841-0638
Mailing address
8251 PINE ROAD, SUITE 212, CINCINNATI, OH 45236
(513) 841-0222
(513) 841-0638
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
35044778
OH
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0908012
—
OH
Enumeration date
07/22/2005
Last updated
07/02/2009
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