Individual
MRS. CHANDRA YVETTE GRAVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10700 MONTGOMERY RD, SUITE 311, CINCINNATI, OH 45242
(513) 891-0211
(513) 792-5945
Mailing address
4422 CARVER WOODS DR STE 100, BLUE ASH, OH 45242-5599
(513) 891-0211
(513) 792-5945
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.062556
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0936438
—
OH
Enumeration date
07/26/2005
Last updated
06/26/2018
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