Individual
MATTHEW EVAN HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7690 DISCOVERY DR, WEST CHESTER, OH 45069-6542
(513) 584-7425
(513) 475-7453
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-073396
OH
208000000X
Pediatrics Physician
35-073396
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110038557
RAIL ROAD MEDICARE
OH
05
—
200288240
—
IN
05
—
2192685
—
OH
05
—
64016462
—
KY
Enumeration date
04/21/2006
Last updated
03/14/2019
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