Provider Demographics
NPI:1407233208
Name:POHLMANN, ELLIOT S (MD)
Entity Type:Individual
Prefix:
First Name:ELLIOT
Middle Name:S
Last Name:POHLMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 EDWARDS RD FL 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-1678
Mailing Address - Country:US
Mailing Address - Phone:513-981-4646
Mailing Address - Fax:513-979-2830
Practice Address - Street 1:4101 EDWARDS RD FL 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-1678
Practice Address - Country:US
Practice Address - Phone:513-981-4646
Practice Address - Fax:513-979-2830
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012701502084P0800X
390200000X
OH35.1434542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program