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NPI Code Detail

MEDICARE: SARAH GREBENNIKOV DO

MEDICARE: SARAH GREBENNIKOV DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramOH
2208M00000XHospitalist Physician34.017180OH
3207R00000XInternal Medicine Physician34.017180OH

General Provider Information

NPI Number : 1659959849
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH GREBENNIKOV DO
Provider Business Mailing Address
First Line : 2139 AUBURN AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2989
Country : US
Telephone Number : 513-585-2000
Fax Number :
Provider Business Practice Location Address
First Line : 3595 OLENTANGY RIVER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3440
Country : US
Telephone Number : 614-566-5456
Fax Number : 614-566-6902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2021
Last Update Date : 06/12/2026

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Directions to “ SARAH GREBENNIKOV DO” Practice Location

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