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Dean A. Siciliano, MD
Diagnostic Radiology Physician in Gallipolis, Ohio
NPI 1699715300

Dean A. Siciliano is a Diagnostic Radiology Physician based in Gallipolis, OH and is specialized in Diagnostic Radiology. Dean A. Siciliano practices in Gallipolis, OH and has the professional credentials of MD. The NPI Number for Dean A. Siciliano is 1699715300 and holds a License No. 20136 (Ohio).

The current practice location address for Dean A. Siciliano is 100 Jackson Pike, Gallipolis, OH and can be reached out via phone at 740-446-5289 and via fax at 740-446-5697.

Location: 100 Jackson Pike, Gallipolis, OH, 45631-1560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699715300
Provider Name
Dean A. Siciliano
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Jackson Pike, Gallipolis, OH, 45631-1560
Phone Number
740-446-5289
Fax Number
740-446-5697
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0247674 01 OH MOLINA MEDICAID #
000000007131 01 ANTHEM BCBS
001714093 01 MOUNTAIN STATE BCBS
300071295 01 OH RR MEDICARE
310917085031 01 OH OH MEDICAID CARESOURCE
000000193128 01 OH UNISON MEDICAID #
0122089000 05 WV
institution
Provider Business Practice Location Address Details
Address
100 Jackson Pike
City
Gallipolis
State
Ohio
Zip
45631-1560
Phone Number
740-446-5289
Fax Number
740-446-5697
person
Provider Business Mailing Address Details
Address
100 Jackson Pike
City
Gallipolis
State
Ohio
Zip
45631-1560
Phone Number
740-446-5289
Fax Number
740-446-5697
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
20136 (West Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
20136 (West Virginia)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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