Provider Demographics
NPI:1538184965
Name:ALESSANDRINI, EVALINE A (MD)
Entity type:Individual
Prefix:
First Name:EVALINE
Middle Name:A
Last Name:ALESSANDRINI
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 1:3333 BURNET AVE.
Mailing Address - Street 2:ML 2044
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3039
Mailing Address - Country:US
Mailing Address - Phone:513-803-0478
Mailing Address - Fax:513-803-0270
Practice Address - Street 1:3333 BURNET AVE.
Practice Address - Street 2:ML 2044
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3039
Practice Address - Country:US
Practice Address - Phone:513-803-0478
Practice Address - Fax:513-803-0270
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0937592080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5511704Medicaid
PA001421375Medicaid
PA001421375Medicaid
PA746690Medicare ID - Type Unspecified