Unknown Individual – Diagnostic Radiology Physician, NPI 1508858895
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 932163
CLEVELAND, OH 441930001
Phone: (586) 412-4000
Fax: (305) 412-4100
Type: Mailing
S Loop Rd & Medical Village Dr, 1, Medical Village Drive, Edgewood, Kenton County, Kentucky, 41017, United States
EDGEWOOD, KY 410173403
Phone: (859) 301-2160
Fax: (859) 301-3932
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44193)
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