Provider Demographics
NPI:1235253378
Name:KRAYTERMAN, GALINA (MD)
Entity Type:Individual
Prefix:
First Name:GALINA
Middle Name:
Last Name:KRAYTERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8622 WINTON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4817
Mailing Address - Country:US
Mailing Address - Phone:513-522-4600
Mailing Address - Fax:513-522-4658
Practice Address - Street 1:8622 WINTON RD
Practice Address - Street 2:SUITE B
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4817
Practice Address - Country:US
Practice Address - Phone:513-522-4600
Practice Address - Fax:513-522-4658
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35078718208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHL2255258Medicaid
OHL2255258Medicaid
OHH34495Medicare UPIN