Healthcare Provider Details

I. General information

NPI: 1528039765
Provider Name (Legal Business Name): ROBERT A CIHAK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 1ST AVE SE STE 100
ABERDEEN SD
57401-4604
US

IV. Provider business mailing address

PO BOX 1460
ABERDEEN SD
57402-1460
US

V. Phone/Fax

Practice location:
  • Phone: 605-622-5506
  • Fax: 605-622-5510
Mailing address:
  • Phone: 605-225-1420
  • Fax: 605-225-3307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number4561
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: