Provider Demographics
NPI:1942236138
Name:SEVEN HILLS MEDICAL ARTS INC
Entity Type:Organization
Organization Name:SEVEN HILLS MEDICAL ARTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAMBELOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-385-2566
Mailing Address - Street 1:4767 N BEND RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-1825
Mailing Address - Country:US
Mailing Address - Phone:513-385-2566
Mailing Address - Fax:513-574-6800
Practice Address - Street 1:4767 N BEND RD
Practice Address - Street 2:SUITE A
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-1825
Practice Address - Country:US
Practice Address - Phone:513-385-2566
Practice Address - Fax:513-574-6800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH68662174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2128281Medicaid
OHG37080Medicare UPIN
OH9303371Medicare PIN