Provider Demographics
NPI:1942204672
Name:KNIGHT, CHRIS A (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:A
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 786536
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-6536
Mailing Address - Country:US
Mailing Address - Phone:330-318-1100
Mailing Address - Fax:330-318-1111
Practice Address - Street 1:835 SOUTHWESTERN RUN
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44514-3688
Practice Address - Country:US
Practice Address - Phone:330-318-1100
Practice Address - Fax:330-318-1111
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-04-5471-K207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0519200Medicaid
OH4037861Medicare ID - Type UnspecifiedYOUNGSTOWN
OH4037863Medicare ID - Type UnspecifiedWARREN
OH0519200Medicaid