Provider Demographics
NPI:1083020564
Name:ORLEV, ETHAN (MD)
Entity type:Individual
Prefix:DR
First Name:ETHAN
Middle Name:
Last Name:ORLEV
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:EITHAN
Other - Middle Name:
Other - Last Name:ORLEV-SHITRIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4665 E GALBRAITH RD STE 101
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2783
Mailing Address - Country:US
Mailing Address - Phone:513-984-3500
Mailing Address - Fax:513-791-2151
Practice Address - Street 1:4665 E GALBRAITH RD STE 101
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2783
Practice Address - Country:US
Practice Address - Phone:513-984-3500
Practice Address - Fax:513-791-2151
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-07
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.130118207R00000X, 207RN0300X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program