Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 31555 | KY |
NPI | 1003925074 |
---|---|
Provider Name | Cyna Khalily |
First Address | Chicago, IL 60677-6351 |
Second Address | Louisville, KY 40202-3900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 19/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000634077 | ANTHEM - NOTC (B&J) (01) | KY |
000052152M | HUMANA - NOTC (B&J) (01) | KY |
108676 | SIHO - NOTC (B&J) (01) | KY |
200181350 | (05) | IN |
2443211000 | PASSPORT ADVANTAGE (01) | KY |
3241175 | CIGNA - NOTC (B&J) (01) | KY |
3745094000 | PASSPORT ADVANTAGE - NOTC (B&J) (01) | KY |
50001643 | PASSPORT (01) | KY |
50026229 | PASSPORT - NOTC (B&J) (01) | KY |
64315559 | (05) | KY |
F87174 | (02) | |
P00290683 | RR MEDICARE (01) | |
P00833212 | RR MEDICARE NOTC (B&J) (01) | KY |