Provider Demographics
NPI:1922077833
Name:HOBOHM, HERMAN K (MD)
Entity Type:Individual
Prefix:DR
First Name:HERMAN
Middle Name:K
Last Name:HOBOHM
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 1:7534 GLENOVER DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2116
Mailing Address - Country:US
Mailing Address - Phone:513-891-1630
Mailing Address - Fax:
Practice Address - Street 1:3801 HAUCK RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-1609
Practice Address - Country:US
Practice Address - Phone:513-563-1505
Practice Address - Fax:513-769-4776
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35 . 0464062083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0486488Medicaid
OH0486488Medicaid
OHHO-0513622Medicare ID - Type Unspecified