Healthcare Provider Details

I. General information

NPI: 1558011551
Provider Name (Legal Business Name): CHELSEA LJUBA DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11560 SPRINGFIELD PIKE
CINCINNATI OH
45246-3527
US

IV. Provider business mailing address

2123 AUBURN AVE STE 340
CINCINNATI OH
45219-2906
US

V. Phone/Fax

Practice location:
  • Phone: 513-525-5474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number36.004204
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: