Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0900X | Dermatopathologist | 35.083909 | OH |
NPI | 1780613422 |
---|---|
Provider Name | Dena M Elkeeb |
First Address | Cincinnati, OH 45209-1678 |
Second Address | Cincinnati, OH 45209-1678 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 28/10/2019 |