DR. ANDY J MINN M.D. NPI 1497978530

NPI Information

NPI: 1497978530
Provider Name: DR. ANDY J MINN, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Address:
3400 CIVIC CENTER BLVD
TRC 2 WEST
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2428
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DR. Andy J Minn, M.D. is a radiation oncology radiology in Philadelphia, PA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Andy J Minn, M.D. NPI is 1497978530. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3400 CIVIC CENTER BLVD
TRC 2 WEST
PHILADELPHIA, PA
ZIP 19104-127
Phone: (215) 662-2428

The enumeration date for this NPI number is 4/10/2007 and was last updated on 9/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	036113450	ILLINOIS	No
2	2085R0001X	Radiology	Radiation Oncology	MD440774	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	I31255	MEDICARE UPIN	ILLINOIS
2	036113450	MEDICAID	ILLINOIS
3	P00249117	OTHER	ILLINOIS	UIC RRMC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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