MEDICARE: H. SILANEE MD PSC

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	35705	KY

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669443925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H. SILANEE MD PSC

Provider Business Mailing Address
First Line	:	1801 ALEXANDRIA PIKE
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	KY
Zip	:	41076-1159
Country	:	US
Telephone Number	:	859-441-6300
Fax Number	:	859-441-6395

Provider Business Practice Location Address
First Line	:	1801 ALEXANDRIA PIKE
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	KY
Zip	:	41076-1159
Country	:	US
Telephone Number	:	859-441-6300
Fax Number	:	859-441-6395

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. HOOSHANG SILANEE
Credential	:	MD
Telephone Number	:	859-441-6300

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	08/22/2020

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