Individual
DR. GRACE Y RYU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8080 RAVINES EDGE CT, COLUMBUS, OH 43235-5424
(614) 846-5944
(614) 846-6504
Mailing address
9800 SHELBYVILLE RD STE 220, LOUISVILLE, KY 40223-2992
(024) 298-5855
(855) 656-7325
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
35-06-1986
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030005124
RAILROAD MEDICARE
OH
05
—
0872435
—
OH
Enumeration date
01/23/2006
Last updated
11/10/2020
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