Individual
LUDMILA MARIA GRACANIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2841 BLUE ROCK RD, CINCINNATI, OH 45239-6334
(513) 923-3500
(513) 923-4464
Mailing address
2841 BLUE ROCK RD, CINCINNATI, OH 45239-6334
(513) 923-3500
(513) 923-4464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000036270
ANTHEM
OH
05
—
0116921
—
OH
01
—
0403144
UNITED HEALTHCARE
OH
01
—
65942
HUMANA
OH
01
—
70417
AETNA
OH
Enumeration date
06/07/2006
Last updated
07/08/2007
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