Kanistros, Peter

Kanistros, Peter is an individual health care provider with primary practice located at 4983 Delhi Ave Suite 6, Cincinnati OH 45238-5380. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kanistros, Peter can be contacted via phone (513) 347-7237.

Contact Information

Primary practice address
4983 Delhi Ave Suite 6 Cincinnati OH 45238-5380
Fax: (513) 347-6567
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35072707K Ohio
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 35072703 Ohio

Profile Details

NPI number 1386641454
LBN Legal business name Kanistros, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Mar 7th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386641454 NPPES
Indiana MEDICAID 200938470
Indiana MEDICAID 2034622

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