MEDICARE: DR. MICHAEL ROBERT DRAZNIK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	35043855	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	311188885	OTHER	OH	TAX ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215075569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ROBERT DRAZNIK M.D.

Provider Business Mailing Address
First Line	:	2055 READING RD
Second Line	:	SUITE 480
City	:	CINCINNATI
State	:	OH
Zip	:	45202-1461
Country	:	US
Telephone Number	:	513-579-0707
Fax Number	:	513-632-5482

Provider Business Practice Location Address
First Line	:	2055 READING RD
Second Line	:	SUITE 480
City	:	CINCINNATI
State	:	OH
Zip	:	45202-1461
Country	:	US
Telephone Number	:	513-579-0707
Fax Number	:	513-632-5482

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	10/28/2020

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