Provider Demographics
NPI:1669443925
Name:H. SILANEE MD PSC
Entity type:Organization
Organization Name:H. SILANEE MD PSC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HOOSHANG
Authorized Official - Middle Name:
Authorized Official - Last Name:SILANEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-441-6300
Mailing Address - Street 1:1801 ALEXANDRIA PIKE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND HEIGHTS
Mailing Address - State:KY
Mailing Address - Zip Code:41076-1159
Mailing Address - Country:US
Mailing Address - Phone:859-441-6300
Mailing Address - Fax:859-441-6395
Practice Address - Street 1:1801 ALEXANDRIA PIKE
Practice Address - Street 2:
Practice Address - City:HIGHLAND HEIGHTS
Practice Address - State:KY
Practice Address - Zip Code:41076-1159
Practice Address - Country:US
Practice Address - Phone:859-441-6300
Practice Address - Fax:859-441-6395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY35705207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64019672Medicaid
KY6412040Medicaid
KY6412040Medicaid
KY64019672Medicaid