MEDICARE: DR. HOOSHANG SILANEE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	19204	KY
2	207V00000X	Obstetrics & Gynecology Physician	35040232S	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811982234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOOSHANG SILANEE MD

Provider Business Mailing Address
First Line	:	401 E 20TH ST
Second Line	:	SUITE 5A
City	:	COVINGTON
State	:	KY
Zip	:	41014-1583
Country	:	US
Telephone Number	:	859-655-7171
Fax Number	:	859-655-6742

Provider Business Practice Location Address
First Line	:	1801 ALEXANDRIA PIKE
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	KY
Zip	:	41076
Country	:	US
Telephone Number	:	859-441-6300
Fax Number	:	859-441-6395

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	03/25/2009

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