Individual
DR. JUAN GABRIEL PENARANDA CANAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-9010
(859) 301-9018
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-9010
(859) 301-9018
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301085374
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
32425
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
60150
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2007
Last updated
01/14/2025
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