Provider Demographics
NPI:1245203173
Name:SALUKE, ANN M (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:SALUKE
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 1:815 DUNORE RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-1416
Mailing Address - Country:US
Mailing Address - Phone:513-325-4000
Mailing Address - Fax:
Practice Address - Street 1:815 DUNORE RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-1416
Practice Address - Country:US
Practice Address - Phone:513-325-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35046856208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0635118OtherAETNA
OH0558730Medicaid
OH1220458OtherUNITED HEALTHCARE
OH4685601OtherHUMANA
OH000000067238OtherANTHEM BC/BS
OH0635118OtherAETNA