Kanistros, Peter
Kanistros, Peter is an individual health care provider with primary practice located at 4983 Delhi Ave Suite 6, Cincinnati OH 45238-5380. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kanistros, Peter can be contacted via phone (513) 347-7237.Contact Information
Primary practice address
4983 Delhi Ave Suite 6
Cincinnati OH 45238-5380
Phone: (513) 347-7237
Fax: (513) 347-6567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35072707K | Ohio |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 35072703 | Ohio |
Profile Details
| NPI number | 1386641454 |
|---|---|
| LBN Legal business name | Kanistros, Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Mar 7th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386641454 | NPPES |
| Indiana | MEDICAID | 200938470 | |
| Indiana | MEDICAID | 2034622 |
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