Individual
ALAN J ANNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4030 SMITH RD, SUITE 300, CINCINNATI, OH 45209-1957
(513) 421-3494
(513) 345-2606
Mailing address
4030 SMITH RD, SUITE 300, CINCINNATI, OH 45209-1957
(513) 421-3494
(513) 345-2606
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25980
KY
208600000X
Surgery Physician
35049257A
OH
2086S0129X
Vascular Surgery Physician
25980
KY
2086S0129X
Vascular Surgery Physician
Primary
35049257A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211187
ANTHEM
—
05
—
0695636
—
OH
01
—
1702166
UNITED HEALTHCARE
—
05
—
200001270
—
IN
01
—
310804060032
CARESOURCE
—
01
—
49257
CHOICE CARE/HUMANA
—
01
—
8330
KY BCBS
—
Enumeration date
07/10/2006
Last updated
12/10/2014
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