| Doctor Name: | DR. JOSE LUIS CHAVEZ |
| NPI Number: | 1427202670 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 35-043909 |
| Business Practice Address: | 3380 Erie Ave Suite 100 Cincinnati, OH - 452081626 |
| Business Phone Number: | 5135332835 |
| Business Fax Number: | 5135332843 |
| Mailing Address: | 3380 Erie Ave, Suite 100 CINCINNATI |
| State: | OH |
| Postal Code: | 452081626 |
| Phone Number: | 5135332835 |
| Fax Number: | 5135332843 |
| NPI Enumeration Date: | 11/13/2008 |
| NPI Last Update Date: | 11/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35-043909 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |