Provider Demographics
NPI:1205366994
Name:JONES-RUBIN, DESIREE MONIQUE (MD, MPH)
Entity Type:Individual
Prefix:
First Name:DESIREE
Middle Name:MONIQUE
Last Name:JONES-RUBIN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE # MLC3008
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-0037
Mailing Address - Fax:513-636-0204
Practice Address - Street 1:3333 BURNET AVE # MLC3008
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-0037
Practice Address - Fax:513-636-0204
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10060932208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics