Provider Demographics
NPI:1962473348
Name:SLAVEN, MONIQUE A (MD)
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:A
Last Name:SLAVEN
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 1:7495 STATE ROAD
Mailing Address - Street 2:SUITE 335
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255
Mailing Address - Country:US
Mailing Address - Phone:513-232-5512
Mailing Address - Fax:513-232-3341
Practice Address - Street 1:7495 STATE ROAD
Practice Address - Street 2:SUITE 335
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255
Practice Address - Country:US
Practice Address - Phone:513-232-5512
Practice Address - Fax:513-232-3341
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35074182208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics