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Individual

DR. MADHURI VENKATA VALLABHUNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
4805 MONTGOMERY RD STE 410, CINCINNATI, OH 45212-2198
(513) 241-2370
(513) 241-6053
Mailing address
4805 MONTGOMERY ROAD, SUITE 150, CINCINNATI, OH 45212-2280
(513) 241-6053
(513) 240-6053

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35.131899
OH
2084N0400X
Neurology Physician
43403
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000667330
ANTHEM
KY
01
50029861
PASSPORT
KY
05
7100122400
KY
Enumeration date
03/01/2007
Last updated
03/17/2018
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