Organization
TRISTATE HOME PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORDUEN ABUNKU MD (MEDICAL DIRECTOR)
(513) 759-9018
Entity
Organization
Contact information
Practice address
8351 COUNTRY OAKS STA, WEST CHESTER, OH 45069-2769
(513) 759-9018
Mailing address
8351 COUNTRY OAKS STA, WEST CHESTER, OH 45069-2769
(513) 759-9018
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
34820
KY
207U00000X
Nuclear Medicine Physician
35-07-5321A
OH
208D00000X
General Practice Physician
34820
KY
208D00000X
General Practice Physician
35-07-5321-A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023111
CONTRACT
OH
01
—
22000000331910
PROVIDER NUMBER
OH
Enumeration date
09/29/2005
Last updated
09/11/2025
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