Individual
DR. IAN J. CHAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9825 KENWOOD RD STE 105, BLUE ASH, OH 45242-6252
(513) 872-4518
(513) 527-0416
Mailing address
9825 KENWOOD RD STE 105, BLUE ASH, OH 45242-6252
(513) 872-4518
(513) 527-0416
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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