Gravely, Chandra Yvette

Gravely, Chandra Yvette is an individual health care provider with primary practice located at 10700 Montgomery Rd Suite 311, Cincinnati OH 45242. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gravely, Chandra Yvette can be contacted via phone (513) 891-0211.

Contact Information

Primary practice address
10700 Montgomery Rd Suite 311 Cincinnati OH 45242
Fax: (513) 792-5945
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35.062556 Ohio

Profile Details

NPI number 1336149996
LBN Legal business name Gravely, Chandra Yvette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jun 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336149996 NPPES
Ohio MEDICAID 0936438

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