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Individual

ELIAS ANAISSIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
234 GOODMAN ST, CINCINNATI, OH 45219
(513) 584-8500
(513) 584-8554
Mailing address
2830 VICTORY PARKWAY, CINCINNATI, OH 45206
(513) 584-8500
(513) 584-8554

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35.120160
OH
207RH0003X
Hematology & Oncology Physician
E-1221
AR
207RI0200X
Infectious Disease Physician
E-1221
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130970001
AR
01
440001576
RAILROAD MEDICARE
AR
Enumeration date
10/13/2006
Last updated
10/19/2012
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