1104913938 NPI number — MASOUD JALILVAND MD

Table of content: MASOUD JALILVAND MD (NPI 1104913938)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104913938 NPI number — MASOUD JALILVAND MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JALILVAND
Provider First Name:
MASOUD
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104913938
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/24/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7000 GIVEN RD
Provider Second Line Business Mailing Address:
CINCINNATI
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45243-2838
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-830-7595
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10506 MONTGOMERY ROAD #201
Provider Second Line Business Practice Location Address:
BETHASDA NORTH HOSPITAL
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45242-4415
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-376-0928
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/05/2006

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: 207R00000X , with the licence number:  88425 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208M00000X , with the licence number: 35.088425 , 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)

  • Identifier: 88425 . This is a "STATE LISCENCE #" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".