Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 35065300 | OH |
NPI | 1013996214 |
---|---|
Provider Name | Dr. Abdul R. Wattar |
First Address | Cincinnati, OH 45206-1785 |
Second Address | West Chester, OH 45069-6542 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2006 |
Last Update Date | 27/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000331560 | ANTHEM (01) | OH |
2050971 | (05) | OH |
341221800122 | CARESOURCE (01) | OH |
F65300 | SUMMACARE (01) | OH |
F84063 | (02) | OH |
P00136360 | RAILROAD MEDICARE (01) |