Provider Demographics
NPI:1649252255
Name:HANDEL, FRANKLIN (MD)
Entity type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:
Last Name:HANDEL
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 1:3533 SOUTHERN BLVD
Mailing Address - Street 2:SUITE 3550
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-1264
Mailing Address - Country:US
Mailing Address - Phone:937-643-9939
Mailing Address - Fax:
Practice Address - Street 1:4000 MIAMISBURG CENTERVILLE RD STE 100
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-7615
Practice Address - Country:US
Practice Address - Phone:937-866-0637
Practice Address - Fax:937-866-6713
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35048156207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
060013549OtherRAILROAD MEDICARE
OH000000003552OtherANTHEM BC/BS
OH0515124Medicaid
OH0637301Medicare PIN
060013549OtherRAILROAD MEDICARE
OH0637303Medicare UPIN
OH0515124Medicaid