Provider Demographics
NPI:1124036587
Name:ARTHRITIS & RHEUMATIC DISEASES CENTER INC
Entity Type:Organization
Organization Name:ARTHRITIS & RHEUMATIC DISEASES CENTER INC
Other - Org Name:ARDC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BADREDDINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-523-2111
Mailing Address - Street 1:PO BOX 632885
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-2885
Mailing Address - Country:US
Mailing Address - Phone:513-421-3504
Mailing Address - Fax:513-231-7055
Practice Address - Street 1:5151 MORNING SUN RD
Practice Address - Street 2:SUITE D
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-9545
Practice Address - Country:US
Practice Address - Phone:513-524-5549
Practice Address - Fax:513-664-3885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35074843207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200366730AMedicaid
KY65936783Medicaid
OH2197555Medicaid
F91916Medicare UPIN
IN200366730AMedicaid