| Dr Glenn P Moradian, MD | |
|
1301 15th Ave W, Williston, ND 58801-3821 | |
| (701) 774-7401 | |
| Not Available |
| Full Name | Dr Glenn P Moradian |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1301 15th Ave W, Williston, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356349955 | NPI | - | NPPES |
| 000010149530 | Other | ID | BS INDIVIDUAL PIN NUMBER |
| 74070 | Other | UT | BC OF IDAHO |
| B4059 | Other | UT | BC OF IDAHO |
| B5651 | Other | UT | BC OF IDAHO |
| P00203248 | Other | ID | RR MEDICARE NO |
| 804043200 | Medicaid | ID | |
| 15042 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | PT11018 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn P Moradian, MD Po Box 2537, Williston, ND 58802-2537 Ph: (866) 338-6472 | Dr Glenn P Moradian, MD 1301 15th Ave W, Williston, ND 58801-3821 Ph: (701) 774-7401 |
Dr. Leszek J Jaszczak, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 3 4th St E, Suite 201, Williston, ND 58801 Phone: 701-577-6337 | |
Madhusudhan P Reddy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1301 15th Ave. W., Williston, ND 58801 Phone: 701-774-7400 Fax: 701-774-7479 | |
Mark R Krakovitz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1301 15th Ave. W., Williston, ND 58801 Phone: 701-774-7435 Fax: 701-774-7479 |