Provider Demographics
NPI:1669714820
Name:MISLANKAR, MONA DATTA (MD)
Entity type:Individual
Prefix:
First Name:MONA
Middle Name:DATTA
Last Name:MISLANKAR
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 1:4565 E GALBRAITH RD STE A
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-1875
Mailing Address - Country:US
Mailing Address - Phone:513-201-7387
Mailing Address - Fax:513-930-6373
Practice Address - Street 1:4565 E GALBRAITH RD STE A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-1875
Practice Address - Country:US
Practice Address - Phone:513-201-7387
Practice Address - Fax:508-252-0995
Is Sole Proprietor?:No
Enumeration Date:2013-03-25
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.131485207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology