Provider Demographics
NPI:1841915626
Name:COOK, ELEANOR (MBBS)
Entity type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVENUE
Mailing Address - Street 2:MLC 11027
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229
Mailing Address - Country:US
Mailing Address - Phone:513-893-4738
Mailing Address - Fax:513-803-1969
Practice Address - Street 1:3333 BURNET AVENUE
Practice Address - Street 2:MLC 11027
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-893-4738
Practice Address - Fax:513-803-1969
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.149147207RH0003X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology