Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 248054 | NY |
Y | 207VX0201X | Gynecologic Oncologist | 34.010162 | OH |
N | 207VX0201X | Gynecologic Oncologist | 5101022136 | MI |
NPI | 1023273687 |
---|---|
Provider Name | Dr. Ajit Gubbi |
First Address | Cincinnati, OH 45226-2326 |
Second Address | Cincinnati, OH 45245-1898 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2008 |
Last Update Date | 22/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0064024 | (05) | OH |
H609180 | MEDICARE (01) | OH |