Individual
PETER ANTHONY CHIRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3448 US ROUTE 60, HUNTINGTON, WV 25705-2906
(304) 522-1550
(304) 522-0704
Mailing address
PO BOX 910, RADIOLOGY INC, HUNTINGTON, WV 25712-0910
(304) 522-1550
(304) 522-1073
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16569
WV
2085R0202X
Diagnostic Radiology Physician
31752
KY
2085R0202X
Diagnostic Radiology Physician
35.080902
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196624
UNISON
OH
01
—
001718772
MTN STATE BCBS
—
05
—
0118638000
—
WV
05
—
0826860
—
OH
01
—
300021806
RAILROAD MEDICARE
WV
01
—
4326610
AETNA
—
01
—
50007249
PASSPORT
KY
01
—
55049337600
WORKMANS COMP
WV
05
—
6469839200
—
KY
Enumeration date
12/22/2005
Last updated
04/18/2024
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