Provider Demographics
NPI:1952964306
Name:OPARE, ISHMAEL HENAKU (MD)
Entity Type:Individual
Prefix:
First Name:ISHMAEL
Middle Name:HENAKU
Last Name:OPARE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9600 CHILDREN DR BLDG D
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-6791
Mailing Address - Country:US
Mailing Address - Phone:513-336-6700
Mailing Address - Fax:513-398-2109
Practice Address - Street 1:9600 CHILDREN DR BLDG D
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-6791
Practice Address - Country:US
Practice Address - Phone:513-336-6700
Practice Address - Fax:513-398-2109
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-20
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.14.5619208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics