Individual
GITANJLI CHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4631 RIDGE AVE, STE. B, CINCINNATI, OH 45209-1028
(513) 631-1268
(513) 366-4121
Mailing address
4631 RIDGE AVE, STE. B, CINCINNATI, OH 45209-1028
(513) 631-1268
(513) 366-4121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35070585
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032919
—
OH
01
—
P00856774
MEDICARE RR
OH
Enumeration date
07/01/2005
Last updated
10/27/2020
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