Healthcare Provider Details

I. General information

NPI: 1194660530
Provider Name (Legal Business Name): GABRIELLA GIUSEPPA GRILLO
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 ALBERT SABIN WAY
CINCINNATI OH
45267-2827
US

IV. Provider business mailing address

520 SCENIC LN
SEVEN HILLS OH
44131-3867
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-0452
  • Fax:
Mailing address:
  • Phone: 216-446-9779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number59.001104
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: