MEDICARE: SCOTT GRAZIANO MD

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	36110575	IL
2	207V00000X	Obstetrics & Gynecology Physician	35.149433	OH

General Provider Information

NPI Number	:	1538133434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT GRAZIANO MD

Provider Business Mailing Address
First Line	:	3200 BURNET AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3130 HIGHLAND AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2399
Country	:	US
Telephone Number	:	513-584-5239
Fax Number	:	513-584-5139

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

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	10/11/2023

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Directions to “ SCOTT GRAZIANO MD” Practice Location

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