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DEFIANCE RADIOLOGIST ASSOCIATES INC NPI 1396712279


NPI Information

NPI: 1396712279
Provider Name: DEFIANCE RADIOLOGIST ASSOCIATES, INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1200 RALSTON AVE
DEFIANCE, OH
ZIP 43512
Phone: (419) 783-6955
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DEFIANCE RADIOLOGIST ASSOCIATES, INC is a diagnostic radiology radiology in Defiance, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DEFIANCE RADIOLOGIST ASSOCIATES, INC NPI is 1396712279. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 RALSTON AVE
DEFIANCE, OH
ZIP 43512-396
Phone: (419) 783-6955

The provider's authorized official is Hassan B Semaan .
The authorized official title is President and has the following contact phone number (419) 783-6955.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 7/6/2021.


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
12617743MEDICAIDOHIO

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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