1992841571 NPI number — DR. RUDITE MARA KLEINMAN PHD

Table of content: DR. RUDITE MARA KLEINMAN PHD (NPI 1992841571)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992841571 NPI number — DR. RUDITE MARA KLEINMAN PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KLEINMAN
Provider First Name:
RUDITE
Provider Middle Name:
MARA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KLEINMAN
Provider Other First Name:
R
Provider Other Middle Name:
MARA
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1992841571
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4422 CARVER WOODS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45242
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-984-2800
Provider Business Mailing Address Fax Number:
513-984-2844

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4422 CARVER WOODS DR
Provider Second Line Business Practice Location Address:
MONTGOMERY PROFESSIONAL ASSOC INC
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45242
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-984-2800
Provider Business Practice Location Address Fax Number:
513-984-2844
Provider Enumeration Date:
01/30/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  2232 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)