MEDICARE: DR. CYMA KHALILY 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	2084P0800X	Psychiatry Physician	60037	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	260010719	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0004208025	OTHER	KY	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	311303853	OTHER	KY	HUMANA OF KY
4	311303853	OTHER	MI	CONNECTICUT GENERAL LIFE
6	000009998	OTHER	TX	BCBS OF TEXAS
7	042485000	OTHER	FL	MAGELLAN HEALTH SERVICES
8	31130385300	OTHER	OH	OHIO BWC
9	1520646	OTHER	MN	UNITED BEHAVIORAL HEALTH
10	311303853	OTHER	SC	CHAMPUS TRICARE
11	311303853001	OTHER	FL	CCN NETWORK
12	311303853	OTHER	OH	HEALTHSPAN
13	0004208025	OTHER	TX	AETNA
14	000000015850	OTHER	OH	ANTHEM
15	311303853	OTHER	GA	UNITED HEALTHCARE
16	72503	OTHER	MN	CIGNA BEHAVIORAL HEALTH

General Provider Information

NPI Number	:	1851308597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYMA KHALILY MD

Provider Business Mailing Address
First Line	:	8624-A WINTON RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-4817
Country	:	US
Telephone Number	:	513-522-2120
Fax Number	:	513-522-9890

Provider Business Practice Location Address
First Line	:	8624-A WINTON RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-4817
Country	:	US
Telephone Number	:	513-522-2120
Fax Number	:	513-522-9890

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

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	08/14/2012

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