Provider Demographics
NPI:1902845118
Name:CIAN, MICHAEL C (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:C
Last Name:CIAN
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 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-851-6033
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:3024 BUSINESS PARK CIR
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3132
Practice Address - Country:US
Practice Address - Phone:615-851-6033
Practice Address - Fax:615-851-2018
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD304612085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1216762OtherCIGNA
TN300122367OtherRAILROAD MEDICARE
TN4089830OtherBCBS
TN1509259Medicaid
TN4001588OtherBCBS
KY64029572OtherKY MEDICAID
TN4291364OtherBCBS - MTI
TN3861156Medicaid
TN4001545OtherBCBS
TN1509259OtherMEDICAID - MTI
TNP00960019OtherMEDICARE - RR - MTI
TNH18569Medicare UPIN
TN4001545OtherBCBS
KY64029572OtherKY MEDICAID
TN1509259OtherMEDICAID - MTI
TN4001588OtherBCBS
TN1509259Medicaid