Provider Demographics
NPI:1497716336
Name:SLABY, DENIS JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:DENIS
Middle Name:JOSEPH
Last Name:SLABY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 E WASHINGTON
Mailing Address - Street 2:STE 403
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-3332
Mailing Address - Country:US
Mailing Address - Phone:330-722-0333
Mailing Address - Fax:330-723-5431
Practice Address - Street 1:970 E WASHINGTON
Practice Address - Street 2:STE 403
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-3332
Practice Address - Country:US
Practice Address - Phone:330-722-0333
Practice Address - Fax:330-723-5431
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35042792S208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0488771Medicaid
A80285Medicare UPIN
OH0488771Medicaid
OHSL0509991Medicare PIN