Provider Demographics
NPI:1922092287
Name:SIGMUND, DUANE A (MD)
Entity Type:Individual
Prefix:DR
First Name:DUANE
Middle Name:A
Last Name:SIGMUND
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 1:5053 WOOSTER RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45226-2326
Mailing Address - Country:US
Mailing Address - Phone:513-751-2145
Mailing Address - Fax:513-751-2138
Practice Address - Street 1:4725 E GALBRAITH RD
Practice Address - Street 2:# 320
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2796
Practice Address - Country:US
Practice Address - Phone:513-751-2273
Practice Address - Fax:513-793-6290
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35047767207RX0202X
KY33579207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200036320Medicaid
KY64785686Medicaid
OH0615561Medicaid
A80505Medicare UPIN
KY0625228Medicare PIN
KY64785686Medicaid