Provider Demographics
NPI:1194894287
Name:VALLE, GIANFRANCO (MD)
Entity type:Individual
Prefix:DR
First Name:GIANFRANCO
Middle Name:
Last Name:VALLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 VETERANS BLVD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45121-7408
Mailing Address - Country:US
Mailing Address - Phone:937-378-2900
Mailing Address - Fax:937-378-2951
Practice Address - Street 1:5151 PFEIFFER RD STE 350
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-4861
Practice Address - Country:US
Practice Address - Phone:833-358-2036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35072573V207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2054039Medicaid
OH000000268033OtherANTHEM
OH2259819OtherAETNA
KY64960933Medicaid
OH04-1192OtherUNITED HEALTHCARE
OH2054039Medicaid
OH04-1192OtherUNITED HEALTHCARE
OH2259819OtherAETNA