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NPI Code Detail

MEDICARE: CHRISTOPHER ANTHONY CUNHA M.D.

MEDICARE: CHRISTOPHER ANTHONY CUNHA M.D.
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
1208000000XPediatrics Physician26500KY

Other Identifiers

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

General Provider Information

NPI Number : 1750364394
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER ANTHONY CUNHA M.D.
Provider Business Mailing Address
First Line : 2865 CHANCELLOR DR
Second Line : SUITE 225
City : CRESTVIEW HILLS
State : KY
Zip : 41017-3912
Country : US
Telephone Number : 859-341-5400
Fax Number : 859-578-3172
Provider Business Practice Location Address
First Line : 2865 CHANCELLOR DR
Second Line : SUITE 225
City : CRESTVIEW HILLS
State : KY
Zip : 41017-3912
Country : US
Telephone Number : 859-341-5400
Fax Number : 859-578-3172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 05/14/2014

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