Individual
LUDIVINA R DORADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2213 SOUTH 9TH STREET, IRONTON, OH 45638
(740) 532-6634
Mailing address
2213 SOUTH 9TH STREET, IRONTON, OH 45638
(740) 532-6634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36853
KY
207RC0000X
Cardiovascular Disease Physician
35036407
OH
207RC0000X
Cardiovascular Disease Physician
36853
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000590543
ANTHEM BCBS
KY
05
—
0234642
—
OH
01
—
1947701
MEDICARE
KY
01
—
64043789
MEDICAID
KY
Enumeration date
07/31/2006
Last updated
05/13/2013
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