Individual
MIRKO ANGELO BABANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7500 STATE RD, CINCINNATI, OH 45255-2439
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, STE 258, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
342566
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.14186-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000800824
ANTHEM BS
OH
Enumeration date
01/07/2013
Last updated
04/16/2013
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