Organization
PRETORIUS AND ROBLES M.D.'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD THOMAS PRETORIUS M.D., PH.D. (MEDICAL DIRECTOR)
(513) 561-3797
Entity
Organization
Contact information
Practice address
4743 CORNELL RD, CINCINNATI, OH 45241-2432
(513) 561-3797
Mailing address
4743 CORNELL RD, CINCINNATI, OH 45241-2432
(513) 561-3797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31919
KY
207R00000X
Internal Medicine Physician
35.056690
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
31919
KY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35.056690
OH
207UN0902X
Nuclear Imaging & Therapy Physician
35.056690
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013351
ANTHEMHEALTHPLANSKENTUCKY
KY
05
—
0586094
—
OH
05
—
0764589
—
OH
01
—
110069666
RAILROAD MEDICARE
OH
01
—
1137929
WORKER'S COMPENSATION
OH
01
—
1205826732
NPI PROVIDER NUMBER DR. ALAM
—
01
—
167090543703
HUMANA
OH
01
—
22000000013351
ANTHEMBLUECROSSBLUESHIELD
OH
01
—
31-1180985
TAX ID # DR. ALAM
OH
01
—
4100195
AETNA
OH
01
—
56690
CHOICECARE
OH
05
—
64-869316
—
KY
01
—
P2309187
OXFORD
OH
Enumeration date
07/11/2006
Last updated
12/09/2009
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