Organization
MID-CITY PEDIATRICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLE GRAHAM M.D. (PRESIDENT)
(513) 948-8444
Entity
Organization
Contact information
Practice address
8250 KENWOOD CROSSING WAY, SUITE 205, CINCINNATI, OH 45236-3668
(513) 948-8444
(513) 948-0756
Mailing address
8250 KENWOOD CROSSING WAY, SUITE 205, CINCINNATI, OH 45236-3668
(513) 948-8444
(513) 948-0756
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-04-4973-G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0784030
—
OH
Enumeration date
01/04/2007
Last updated
08/22/2020
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