Igor Dumbadze, MD | |
2000 Joseph E Sanker Blvd, Cincinnati, OH 45212-1979 | |
(513) 841-7400 | |
(513) 841-7402 |
Full Name | Igor Dumbadze |
---|---|
Gender | Male |
Speciality | Urology |
Location | 2000 Joseph E Sanker Blvd, Cincinnati, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538105671 | NPI | - | NPPES |
0276946 | Medicaid | OH | |
0335453 | Medicaid | OH | |
340011144 | Other | OH | RAILROAD MEDICARE |
64782683 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 35-03-7265 (Ohio) | Primary |
Entity Name | Tri State Urologic Services Psc Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396938312 PECOS PAC ID: 6204740889 Enrollment ID: O20031118000285 |
Mailing Address | Practice Location Address |
---|---|
Igor Dumbadze, MD 2000 Joseph E Sanker Blvd, Cincinnati, OH 45212-1979 Ph: (513) 841-7400 | Igor Dumbadze, MD 2000 Joseph E Sanker Blvd, Cincinnati, OH 45212-1979 Ph: (513) 841-7400 |
Pramod P Reddy, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3333 Burnet Avenue, Ml 5037, Cincinnati, OH 45229 Phone: 513-636-4975 Fax: 866-213-7089 | |
Justin Cox, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2123 Auburn Ave, Cincinnati, OH 45219 Phone: 513-721-7373 Fax: 513-977-4253 | |
Brian Joseph Minnillo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245 Phone: 513-841-7750 Fax: 513-841-7751 | |
Philip J Buffington, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245 Phone: 513-841-7750 Fax: 513-841-7751 | |
Richard H Keys, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2000 Joseph E Sanker Blvd, Cincinnati, OH 45212 Phone: 513-841-7400 Fax: 513-841-7402 | |
Marc J Pliskin, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 3301 Mercy Health Blvd, Suite 525, Cincinnati, OH 45211 Phone: 513-841-7700 Fax: 513-841-7701 | |
Galiya Raisin, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Division Of Urology, Mlc 5037, Cincinnati, OH 45229 Phone: 513-803-3736 |