Basic Information
| Provider Information | |||||||||
| NPI: | 1811982234 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SILANEE | ||||||||
| FirstName: | HOOSHANG | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 E 20TH ST | ||||||||
| Address2: | SUITE 5A | ||||||||
| City: | COVINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 410141583 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8596557171 | ||||||||
| FaxNumber: | 8596556742 | ||||||||
| Practice Location | |||||||||
| Address1: | 1801 ALEXANDRIA PIKE | ||||||||
| Address2: | |||||||||
| City: | HIGHLAND HEIGHTS | ||||||||
| State: | KY | ||||||||
| PostalCode: | 41076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8594416300 | ||||||||
| FaxNumber: | 8594416395 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/12/2005 | ||||||||
| LastUpdateDate: | 03/25/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 19204 | KY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 35040232S | OH | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 64192040 | 05 | KY | MEDICAID |