Firdaus, Irfan

Firdaus, Irfan is an individual health care provider with primary practice located at 11140 Montgomery Rd , Cincinnati OH 45249-2309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Firdaus, Irfan can be contacted via phone (513) 564-8580.

Contact Information

Primary practice address
11140 Montgomery Rd Cincinnati OH 45249-2309
Fax: (513) 564-8584
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 02006173A Indiana
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 34-007163 Ohio

Profile Details

NPI number 1275526089
LBN Legal business name Firdaus, Irfan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Mar 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275526089 NPPES
Indiana MEDICAID 200468060
Indiana MEDICAID 2276853
Indiana MEDICAID 64078751

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