DR. D EDWARD MINEAU M.D. NPI 1669472320

NPI Information

NPI: 1669472320
Provider Name: DR. D EDWARD MINEAU, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1200 E 3900 S
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 268-7111
Get Directions

DR. D Edward Mineau, M.D. is a diagnostic radiology radiology in Salt Lake City, UT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. D Edward Mineau, M.D. NPI is 1669472320. 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:

1200 E 3900 S
SALT LAKE CITY, UT
ZIP 84124-300
Phone: (801) 268-7111

The enumeration date for this NPI number is 7/26/2005 and was last updated on 2/12/2009.

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	2085R0202X	Radiology	Diagnostic Radiology	152665-1205	UTAH	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	003812200	MEDICAID	IDAHO
2	002087689	MEDICAID	NEVADA
3	04348	MEDICAID	UTAH
4	120732600	MEDICAID	WYOMING
5	E27895	MEDICARE UPIN
6	005783009	MEDICARE PIN	UTAH
7	927741	MEDICAID	ARIZONA
8	P00199668	MEDICARE PIN	UTAH
9	P00651547	OTHER	UTAH	RR MEDICARE
10	005790123	MEDICARE PIN	UTAH

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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