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Contact Information

IRFAN FIRDAUS, DO
11140 MONTGOMERY RD
CINCINNATI, OH45249-2309
 Phone: 513-564-8580
 Fax: 513-564-8584
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IRFAN FIRDAUS · (Male)

NPI # 1275526089
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/26/2005
Last updated 03/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 02006173A
  • OH License # 34-007163
  • IN Medicaid 200468060
  • KY Medicaid 64078751
  • OH Medicaid 2276853
Hospital affiliation(s)
  • CHRIST HOSPITAL - (Acute Care)
    2139 AUBURN AVENUE
    CINCINNATI, OH 45219
  • DECATUR COUNTY MEMORIAL HOSPITAL - (Critical Access)
    720 N LINCOLN ST
    GREENSBURG, IN 47240
  • MARGARET MARY COMMUNITY HOSPITAL INC - (Critical Access)
    321 MITCHELL AVE
    BATESVILLE, IN 47006
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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