Provider Demographics
NPI:1063500932
Name:SYLLABA, ANDREAS HERBERT (DO)
Entity type:Individual
Prefix:DR
First Name:ANDREAS
Middle Name:HERBERT
Last Name:SYLLABA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:ANDREAS
Other - Middle Name:HERBERT
Other - Last Name:SZOKOLOCZY-SYLLABA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 330
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-0330
Mailing Address - Country:US
Mailing Address - Phone:513-454-7246
Mailing Address - Fax:513-438-0202
Practice Address - Street 1:1301 MATTEC DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-7300
Practice Address - Country:US
Practice Address - Phone:513-454-7246
Practice Address - Fax:513-438-0202
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSL302205204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2259701Medicaid
OH2259701Medicaid
OHF78873Medicare UPIN