Individual
DR. MICHAEL W STAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 513-8651
(513) 965-8091
Mailing address
PO BOX 42468, CINCINNATI, OH 45242-0468
(513) 965-8041
(513) 965-8091
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33087
KY
2085R0202X
Diagnostic Radiology Physician
33087
KY
2085R0202X
Diagnostic Radiology Physician
Primary
35090809
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200934940
—
IN
05
—
2698924
—
OH
05
—
64330673
—
KY
Enumeration date
05/15/2007
Last updated
04/15/2014
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