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SHAUN MADER R.T.(T) NPI 1710422803


NPI Information

NPI: 1710422803
Provider Name: SHAUN MADER, R.T.(T)
Classification: Radiologic Technologist - 2471R0002X
Entity Type: Individual

Specialization: Radiation Therapy

Address:
7320 YORK AVE S APT 210
EDINA, MN
ZIP 55435
Phone: (612) 598-6936
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Shaun Mader, R.T.(T) is a radiation therapy radiologic technologist in Edina, MN. The provider is a radiologic technologist who specializes in radiation therapy and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in administration of radiation therapy, exam techniques, equipment protocols, radiation safety, and patient care. Shaun Mader, R.T.(T) NPI is 1710422803. 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:

7320 YORK AVE S APT 210
EDINA, MN
ZIP 55435-715
Phone: (612) 598-6936

The enumeration date for this NPI number is 12/27/2016 and was last updated on 12/27/2016.


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
12471R0002XRadiologic TechnologistRadiation TherapyCTT-01516ARIZONAYes

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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