Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 2328 | TN |
N | 207PP0204X | Pediatric Emergency Physician | 2328 | TN |
N | 207PP0204X | Pediatric Emergency Physician | OS9790 | FL |
N | 208000000X | Pediatrician | OS9790 | FL |
N | 208D00000X | General Practice Physician | 2328 | TN |
N | 208D00000X | General Practice Physician | OS9790 | FL |
NPI | 1184787277 |
---|---|
Provider Name | Dr. Christopher Siano |
First Address | Knoxville, TN 37922-3347 |
Second Address | Knoxville, TN 37916-2228 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 25/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1525982 | (05) | TN |
278520000 | (05) | FL |
7100189180 | (05) | KY |