Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 34.005069 | OH |
N | 111NI0900X | Internist | 34.005069 | OH |
N | 207X00000X | Orthopaedic Surgeon | 34005069 | OH |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 34005069 | OH |
NPI | 1790719235 |
---|---|
Provider Name | Charles T Mehlman |
First Address | Cincinnati, OH 45229-3039 |
Second Address | Cincinnati, OH 45229-3039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 19/01/2018 |