Individual
CHANDRASEKAR DHEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10220 ALLIANCE RD, BLUE ASH, OH 45242-4710
(513) 841-7800
(513) 841-7801
Mailing address
2000 JOSEPH E SANKER BLVD, CINCINNATI, OH 45212-1979
(513) 841-7400
(513) 841-7402
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35076291
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0276946
—
OH
05
—
2166427
—
OH
01
—
340011131
RAILROAD MEDICARE
OH
05
—
64955321
—
KY
Enumeration date
08/31/2006
Last updated
12/02/2014
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