Individual
MICHAEL CHOLERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3860 RACE RD, SUITE 204, CINCINNATI, OH 45211-4306
(877) 845-7197
Mailing address
919 SQUIRE VALLEY DR, VILLA HILLS, KY 41017-1479
(513) 254-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02229
KY
207R00000X
Internal Medicine Physician
Primary
34004374
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000197447
ANTHEM
OH
05
—
0734281
—
OH
01
—
311773769-001
MEDICAL MUTUAL
OH
01
—
31177376900
WKERS COMP
OH
05
—
64008170
—
KY
Enumeration date
11/06/2006
Last updated
04/18/2012
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