Individual
IAN J. SAREMBOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11140 MONTGOMERY RD, CINCINNATI, OH 45249-2309
(513) 792-7800
(513) 792-7807
Mailing address
237 WILLIAM HOWARD TAFT RD, 2ND FLOOR, CBO 2-3, CINCINNATI, OH 45219-2610
(513) 985-0022
(513) 985-0088
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35089430
OH
207RI0011X
Interventional Cardiology Physician
Primary
35.089430
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000513028
ANTHEM
OH
05
—
006032311
—
VA
05
—
0301819
—
OH
01
—
325060
AMERIGROUP
OH
01
—
P00393051
RAILROAD MEDICARE
OH
Enumeration date
10/13/2006
Last updated
10/24/2020
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