Individual
DR. MARIANNA C. VARDAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10495 MONTGOMERY RD, SUITE 16, CINCINNATI, OH 45242
(513) 985-9017
(513) 985-9036
Mailing address
10495 MONTGOMERY RD, SUITE 16, CINCINNATI, OH 45242
(513) 985-9017
(513) 985-9036
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35-058759
OH
207VG0400X
Gynecology Physician
Primary
35058759V
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111417
—
OH
Enumeration date
09/01/2006
Last updated
05/02/2013
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