Individual
GARETH S KANTOR
Active
Individual
GARETH S KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-067591
OH
207LA0401X
Addiction Medicine (Anesthesiology) Physician
35-067591
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35-067591
OH
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
35-067591
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35-067591
OH
207LP3000X
Pediatric Anesthesiology Physician
35-067591
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221282
UNISON
OH
01
—
000000529584
ANTHEM
OH
05
—
0176867
—
OH
01
—
0583328
BCMH
OH
01
—
414987
WELLCARE MEDICAID
OH
01
—
5165113
AETNA
OH
01
—
750680
BUCKEYE MEDICAID
OH
Enumeration date
07/23/2006
Last updated
08/18/2010
Update your record
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