Champak M Dedhia, MD | |
700 Quincy Ave, Scranton, PA 18510-1724 | |
(570) 307-4225 | |
Not Available |
Full Name | Champak M Dedhia |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 700 Quincy Ave, Scranton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134113798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD027320E (Pennsylvania) | Primary |
Entity Name | Vascular Diagnostic Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255308441 PECOS PAC ID: 5193626232 Enrollment ID: O20040120000767 |
Entity Name | Radiology Affiliates Of Central New Jersey P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811994791 PECOS PAC ID: 1759277239 Enrollment ID: O20040223000732 |
Entity Name | Delta Medix Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396701876 PECOS PAC ID: 0648162636 Enrollment ID: O20040325001062 |
Entity Name | Radiological Consultants Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538127428 PECOS PAC ID: 9739171257 Enrollment ID: O20040402000251 |
Mailing Address | Practice Location Address |
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Champak M Dedhia, MD Po Box 60, Pittsburgh, PA 15230-0060 Ph: (412) 937-5726 | Champak M Dedhia, MD 700 Quincy Ave, Scranton, PA 18510-1724 Ph: (570) 307-4225 |
Dr. Shaun W. Mclaughlin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8151 Fax: 570-703-8387 | |
Dr. Salman S Mirza, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St., Scranton, PA 18510 Phone: 570-703-8151 Fax: 570-703-8387 | |
Jamie S Stallman, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-307-4225 Fax: 570-307-4226 | |
Sagar M Shah, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8151 | |
Jonathon C. Sullum, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2601 Stafford Avenue, Scranton, PA 18505 Phone: 570-346-6633 | |
Kevin T Fogarty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Lackawanna Ave Ste 200, Scranton, PA 18503 Phone: 484-884-4500 Fax: 570-800-7529 |