1992841571 NPI number — DR. RUDITE MARA KLEINMAN PHD

Table of content: (NPI 1518061225)

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)