Provider Demographics
NPI:1861472433
Name:CHING HO MD INC
Entity Type:Organization
Organization Name:CHING HO MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHING
Authorized Official - Middle Name:
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-891-1200
Mailing Address - Street 1:PO BOX 631821
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-1821
Mailing Address - Country:US
Mailing Address - Phone:513-721-6781
Mailing Address - Fax:513-345-6281
Practice Address - Street 1:4760 E GALBRAITH RD SUITE 208
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-6703
Practice Address - Country:US
Practice Address - Phone:513-891-1200
Practice Address - Fax:513-791-2068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35052941H261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH020046783OtherRAILROAD MCR
OH0740998Medicaid
OHD94698Medicare UPIN
OH0740998Medicaid