Individual
TINA M SIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
613 23RD ST, SUITE G-10, ASHLAND, KY 41101-2878
(606) 329-1997
(606) 329-1227
Mailing address
PO BOX 1237, ASHLAND, KY 41105-1237
(606) 329-1997
(606) 329-1227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18204
WV
207RC0000X
Cardiovascular Disease Physician
Primary
18204
WV
207UN0901X
Nuclear Cardiology Physician
18204
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2153824
—
OH
05
—
6030002000
—
WV
05
—
64003700
—
KY
Enumeration date
03/21/2006
Last updated
08/10/2011
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