Individual
JOSEPH KEN HASSOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 STRAIGHT ST, MILLENIUM ANESTHESIA LLC, CINCINNATI, OH 45219-1018
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, MILLENIUM ANESTHESIA LLC, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35078819H
OH
207L00000X
Anesthesiology Physician
37537
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000257481
ANTHEM BLUE SHIELD
—
01
—
000000634027
ANTHEM
—
05
—
200402560
—
IN
05
—
2363571
—
OH
01
—
311585770
TAX ID
—
01
—
5296039
CIGNA
—
01
—
64058472
MEDICAID
KY
Enumeration date
11/16/2005
Last updated
12/01/2009
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