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 | 2085R0204X | Radiology | Vascular & Interventional Radiology | 58782 | MINNESOTA | No |
2 | 2085R0202X | Radiology | Diagnostic Radiology | BELGIUM | Foreign Country | No |
3 | 2085R0202X | Radiology | Diagnostic Radiology | D69087 | MARYLAND | No |
4 | 2085R0202X | Radiology | Diagnostic Radiology | 16827 | NEW HAMPSHIRE | No |
5 | 2085R0204X | Radiology | Vascular & Interventional Radiology | MD2014-0761 | NEW MEXICO | No |
6 | 2085R0202X | Radiology | Diagnostic Radiology | MED-PHYS-LIC-34936 | MONTANA | No |
7 | 2085R0202X | Radiology | Diagnostic Radiology | FRANCE | Foreign Country | No |
8 | 2085R0204X | Radiology | Vascular & Interventional Radiology | MD18349 | MAINE | No |
9 | 2085R0204X | Radiology | Vascular & Interventional Radiology | 218847 | MASSACHUSETTS | No |
10 | 2085R0202X | Radiology | Diagnostic Radiology | C53060 | CALIFORNIA | Yes |