Individual
JAMES C PAVELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3219 CLIFTON AVE, SUITE 100, CINCINNATI, OH 45220-3027
(513) 862-1888
(513) 862-3616
Mailing address
PO BOX 635063, CINCINNATI, OH 45263-5063
(513) 569-2043
(513) 569-5199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24369
KY
207VX0201X
Gynecologic Oncology Physician
Primary
35-092322
OH
207VX0201X
Gynecologic Oncology Physician
A92102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2905824
—
OH
05
—
7900073650
—
KY
Enumeration date
03/02/2007
Last updated
03/30/2010
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