Individual
MICHAEL R. CANADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
18473
WV
208600000X
Surgery Physician
Primary
35-06-0982
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007322
ANTHEM BCBS
—
01
—
000000181583
UNISON MEDICAID
OH
01
—
001714083
MOUNTAIN STATE BCBS
—
05
—
0126280000
—
WV
01
—
0154256
OHIO MEDICAID MOLINA
OH
01
—
020027086
RR MEDICARE
—
01
—
310917085091
CARESOURCE MEDICAID
OH
Enumeration date
05/17/2006
Last updated
11/05/2019
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