Individual
JOEL D PRANIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2123 AUBURN AVE, 528, CINCINNATI, OH 45219-2906
(513) 792-5800
(513) 792-5806
Mailing address
4685 FOREST AVE, STE C, CINCINNATI, OH 45212-3359
(513) 853-4749
(513) 853-4740
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35059105
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0821721
—
OH
Enumeration date
08/19/2005
Last updated
02/19/2018
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