Basic Information
| Provider Information | |||||||||
| NPI: | 1124388483 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ENAKER | ||||||||
| FirstName: | REENA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 191 EVANS AVE | ||||||||
| Address2: | |||||||||
| City: | MOUNT STERLING | ||||||||
| State: | KY | ||||||||
| PostalCode: | 403539768 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8594899688 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3802 PAXTON AVE | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452092399 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135599700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2012 | ||||||||
| LastUpdateDate: | 08/16/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207Q00000X | 35.125499 | OH | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.