Provider Demographics
NPI:1174729438
Name:MAX, JOSHUA B (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:B
Last Name:MAX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10600 MONTGOMERY RD
Mailing Address - Street 2:STE 200
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4463
Mailing Address - Country:US
Mailing Address - Phone:513-794-5600
Mailing Address - Fax:513-281-1908
Practice Address - Street 1:10600 MONTGOMERY RD
Practice Address - Street 2:STE 200
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4463
Practice Address - Country:US
Practice Address - Phone:513-794-5600
Practice Address - Fax:513-281-1908
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2024-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN50909207R00000X
OH35.124087207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0106603Medicaid
ININ1395025Medicare PIN
OHH338920Medicare PIN