Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 35096425 | OH |
N | 207RC0000X | Internist - Cardiovascular Disease | 35.096425 | OH |
NPI | 1174513733 |
---|---|
Provider Name | Dr. Gregory Francis Egnaczyk |
First Address | Cincinnati, OH 45219-2610 |
Second Address | Cincinnati, OH 45219-2906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2005 |
Last Update Date | 27/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201192860 | (05) | IN |
3188978 | (05) | OH |
5905600 | (05) | NC |
7100260120 | (05) | KY |