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Individual

DR. IAN J. CHAVES

Active
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Individual

DR. IAN J. CHAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036137962
IL
2085R0202X
Diagnostic Radiology Physician
2014-00690
NC
2085R0202X
Diagnostic Radiology Physician
Primary
35133145
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0279753
OH
05
036137962
IL
05
7100525240
KY
Enumeration date
06/13/2009
Last updated
06/19/2019
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