Healthcare Provider Details

I. General information

NPI: 1386621027
Provider Name (Legal Business Name): TRISHA ANNE PACHIANO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2005
Last Update Date: 01/06/2021
Certification Date: 01/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2591 MIAMISBURG CENTERVILLE RD STE 201
DAYTON OH
45459-3711
US

IV. Provider business mailing address

2591 MIAMISBURG CENTERVILLE RD STE 201
DAYTON OH
45459-3711
US

V. Phone/Fax

Practice location:
  • Phone: 937-439-5252
  • Fax: 937-439-9242
Mailing address:
  • Phone: 937-439-5252
  • Fax: 937-439-9242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number6550
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: