Provider Demographics
NPI:1932499175
Name:BERRY, ANDRIA N (DO)
Entity Type:Individual
Prefix:
First Name:ANDRIA
Middle Name:N
Last Name:BERRY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3219 CLIFTON AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-3044
Mailing Address - Country:US
Mailing Address - Phone:513-559-9411
Mailing Address - Fax:513-559-0419
Practice Address - Street 1:3219 CLIFTON AVE STE 230
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-3044
Practice Address - Country:US
Practice Address - Phone:513-559-9411
Practice Address - Fax:513-559-0419
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY03967207V00000X
390200000X
OH34.016351207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program