Provider Demographics
NPI:1437102084
Name:CHRONIS, ALEX J (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:J
Last Name:CHRONIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9825 KENWOOD RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-6251
Mailing Address - Country:US
Mailing Address - Phone:513-872-4500
Mailing Address - Fax:513-872-4518
Practice Address - Street 1:9825 KENWOOD RD
Practice Address - Street 2:SUITE 105
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-6251
Practice Address - Country:US
Practice Address - Phone:513-872-4500
Practice Address - Fax:513-872-4518
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH350572772085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200125370Medicaid
OH0778270Medicaid
KY64864085Medicaid
KY64864085Medicaid
IN200125370Medicaid
OH300066268Medicare PIN