Provider Demographics
NPI:1285690743
Name:KAREV, MILLA (MD)
Entity type:Individual
Prefix:
First Name:MILLA
Middle Name:
Last Name:KAREV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LYUDMILA
Other - Middle Name:
Other - Last Name:KAREV
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:237 WILLIAM HOWARD TAFT RD RM 3-064
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2610
Mailing Address - Country:US
Mailing Address - Phone:513-263-8590
Mailing Address - Fax:513-272-0362
Practice Address - Street 1:237 WILLIAM HOWARD TAFT RD RM 3-064
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2610
Practice Address - Country:US
Practice Address - Phone:513-263-8590
Practice Address - Fax:513-272-0362
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35074603K207RG0300X
OH35.074603207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2136165Medicaid
KY64024946Medicaid
IN200522500OtherMEDICAID
KY640249446OtherMEDICAID
OHKA0886711Medicare PIN
KY640249446OtherMEDICAID
IN200522500OtherMEDICAID