Individual
KRISTINE A BLACKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1736
(216) 844-1700
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
35084181
OH
207UN0901X
Nuclear Cardiology Physician
35084181
OH
207UN0902X
Nuclear Imaging & Therapy Physician
35084181
OH
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
35084181
OH
2085B0100X
Body Imaging Physician
35084181
OH
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
35084181
OH
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
35084181
OH
2085N0700X
Neuroradiology Physician
Primary
35084181
OH
2085N0904X
Nuclear Radiology Physician
35084181
OH
2085P0229X
Pediatric Radiology Physician
35084181
OH
2085R0001X
Radiation Oncology Physician
35084181
OH
2085R0202X
Diagnostic Radiology Physician
35084181
OH
2085R0203X
Therapeutic Radiology Physician
35084181
OH
2085R0204X
Vascular & Interventional Radiology Physician
35084181
OH
2085U0001X
Diagnostic Ultrasound Physician
35084181
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206509
UNISON
OH
01
—
000000503569
ANTHEM
OH
01
—
0304914
BCMH
OH
05
—
1023171400001
—
PA
01
—
1487695219
MI MEDICAID
MI
05
—
2493707
—
OH
01
—
363360
WELLCARE
OH
01
—
732926
BUCKEYE
OH
01
—
751556
AETNA
OH
01
—
P00358779
RAILROAD MEDICARE
OH
Enumeration date
06/10/2006
Last updated
08/27/2010
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