Individual
ONASSIS A CANERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4805 MONTGOMERY RD, SUITE 210, CINCINNATI, OH 45212-2198
(513) 791-6400
(513) 791-5306
Mailing address
4805 MONTGOMERY RD, SUITE 150, CINCINNATI, OH 45212-2198
(513) 961-5558
(513) 961-1912
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
35-085005
OH
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
39035
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342978
ANTHEM
—
01
—
05-01445
UNITED HEALTHCARE
—
05
—
2507200
—
OH
01
—
5737535
AETNA
—
05
—
64093412
—
KY
Enumeration date
08/31/2006
Last updated
01/30/2017
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