Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 35069636 | OH |
Y | 207RP1001X | Pulmonary Disease | 35069636 | OH |
N | 207RS0012X | Sleep Medicine | 35069636 | OH |
NPI | 1003868126 |
---|---|
Provider Name | Dr. Christopher E Avendano |
First Address | Sandusky, OH 44870 |
Second Address | Sandusky, OH 44870-7248 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 11/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0248664 | (05) | OH |
G28030 | (02) | |
P00117746 | MEDICARE RAILROAD (01) | OH |