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Individual

DR. MARK A HARDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2123 AUBURN AVE, SU. 315, CINCINNATI, OH 45219-2906
(513) 541-0700
(513) 541-2530
Mailing address
237 WILLIAM HOWARD TAFT RD, 2ND FLOOR, CBO 2-3, CINCINNATI, OH 45219-2610
(513) 541-0700
(513) 541-2530

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
41441
KY
2086S0129X
Vascular Surgery Physician
Primary
89902
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200870910
IN MEDICAID
IN
05
200870910A
IN
05
2779542
OH
01
7100020200
KY MEDICAID
KY
05
7100020200
KY
05
7100056850
KY
01
P00469075
RAIL ROAD MEDICARE
OH
01
P00689755
RAILROAD MEDICARE KY
KY
Enumeration date
08/31/2006
Last updated
10/26/2020
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