Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 35.141389 | OH |
NPI | 1023549169 |
---|---|
Provider Name | Arjan Hura |
First Address | Cincinnati, OH 45267-0527 |
Second Address | Brecksville, OH 44141-3254 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2017 |
Last Update Date | 26/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
15075069 | CAQH (01) |