Lydia Chantilas, MD | |
85 N Grand Ave, Fort Thomas, KY 41075-1793 | |
(513) 672-3309 | |
(513) 672-3323 |
Full Name | Lydia Chantilas |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 85 N Grand Ave, Fort Thomas, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255324307 | NPI | - | NPPES |
64323801 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 32380 (Kentucky) | Primary |
Entity Name | Anesthesia Associates Of Cincinnati, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316945173 PECOS PAC ID: 4789598509 Enrollment ID: O20031117000374 |
Mailing Address | Practice Location Address |
---|---|
Lydia Chantilas, MD 11490 Springfield Pike, Cincinnati, OH 45246-3524 Ph: (513) 672-3309 | Lydia Chantilas, MD 85 N Grand Ave, Fort Thomas, KY 41075-1793 Ph: (513) 672-3309 |
Soon Park, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 513-672-3309 Fax: 513-672-3323 | |
Arturo Sia, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 513-672-3309 Fax: 513-672-3323 | |
Damian Francis Dolan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-572-3232 Fax: 859-572-3727 |