| Dr Leonid Leonidovitch Chepelev, MD | |
|
234 Goodman St, Cincinnati, OH 45219-2364 | |
| (513) 245-3613 | |
| (513) 585-5511 |
| Full Name | Dr Leonid Leonidovitch Chepelev |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 234 Goodman St, Cincinnati, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912525254 | NPI | - | NPPES |
| 0455334 | Medicaid | OH | |
| A168586 | Other | CA | MEDICAL BOARD OF CALIFORNIA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A168586 (California) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 35.143104 (Ohio) | Primary |
| Entity Name | Banner - University Hospital Based Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Entity Name | Banner - University Physician Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leonid Leonidovitch Chepelev, MD 300 Pasteur Drive, S072, Stanford, CA 94305-5105 Ph: (650) 723-7647 | Dr Leonid Leonidovitch Chepelev, MD 234 Goodman St, Cincinnati, OH 45219-2364 Ph: (513) 245-3613 |
Preeyacha Pacharn, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 5031, Cincinnati, OH 45229 Phone: 513-636-4251 | |
Ifeoma Aguanunu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 135-844-3915 | |
Dr. Marc R Mosbacher, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 Ivy Gtwy Ste 1100, Cincinnati, OH 45245 Phone: 513-751-2273 | |
Dr. Michael K. Shehata, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5520 Cheviot Rd, Cincinnati, OH 45247 Phone: 513-451-4033 Fax: 513-451-1356 | |
Dr. Rodney P Geier, MD Radiology Medicare: Medicare Enrolled Practice Location: 11140 Montgomery Rd, Cincinnati, OH 45249 Phone: 513-564-8520 Fax: 513-564-8539 | |
James M Meranus, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-965-8041 Fax: 513-965-8091 | |
Doan Vu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Central Credentialing Ml 806, Cincinnati, OH 45219 Phone: 513-585-5508 Fax: 513-585-5511 |