Provider Demographics
NPI:1568464592
Name:KANIOS, CHRIS M (MD)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:M
Last Name:KANIOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 BEAVER CREEK CIR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-1745
Mailing Address - Country:US
Mailing Address - Phone:419-891-6201
Mailing Address - Fax:419-893-1227
Practice Address - Street 1:660 BEAVER CREEK CIR
Practice Address - Street 2:SUITE 200
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1745
Practice Address - Country:US
Practice Address - Phone:419-891-6201
Practice Address - Fax:419-893-1227
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35056211207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH00254OtherPARAMOUNT
OH160041501OtherRRMC
OH2088434OtherAETNA
OH000000141201OtherANTHEM
OH07-01413OtherUHC
OH0828126Medicaid
OH000000141201OtherANTHEM
OH2088434OtherAETNA