Provider Demographics
NPI:1588697700
Name:DURRANI, ABUBAKAR ATIQ (MD)
Entity type:Individual
Prefix:
First Name:ABUBAKAR
Middle Name:ATIQ
Last Name:DURRANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10475 READING RD
Mailing Address - Street 2:STE 209
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2563
Mailing Address - Country:US
Mailing Address - Phone:513-281-2278
Mailing Address - Fax:513-221-8219
Practice Address - Street 1:10475 READING RD
Practice Address - Street 2:STE 209
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-2563
Practice Address - Country:US
Practice Address - Phone:513-281-2278
Practice Address - Fax:513-221-8219
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY39372207XP3100X, 207XS0117X
OH35-085087207XP3100X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200503730Medicaid
OH2555588Medicaid
KY64107618Medicaid
KYP00965822Medicare PIN
I27440Medicare UPIN
OH2555588Medicaid
KY64107618Medicaid
KYP400043702Medicare PIN