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KETTERING NETWORK RADIOLOGISTS INC NPI 1346299153


NPI Information

NPI: 1346299153
Provider Name: KETTERING NETWORK RADIOLOGISTS INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3535 SOUTHERN BLVD
KETTERING, OH
ZIP 45429
Phone: (937) 296-7202
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KETTERING NETWORK RADIOLOGISTS INC is a diagnostic radiology radiology in Kettering, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. KETTERING NETWORK RADIOLOGISTS INC NPI is 1346299153. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3535 SOUTHERN BLVD
KETTERING, OH
ZIP 45429-221
Phone: (937) 296-7202

The provider's authorized official is Ronald J Fadell .
The authorized official title is President and has the following contact phone number (937) 296-7202.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 4/22/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========040OTHERMEDICAL MUTUAL
29148265MEDICARE PINOHIO
30383160MEDICAIDOHIO
4CB4569OTHERMEDICARE RAILROAD
59148266MEDICARE PINOHIO
69148261MEDICARE PINOHIO
7000000006173OTHERANTHEM

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

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