Joanna Fan, | |
2200 Jefferson Ave, Toledo, OH 43604-7101 | |
(419) 251-1400 | |
(419) 251-1797 |
Full Name | Joanna Fan |
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Gender | Female |
Speciality | Radiology - Body Imaging |
Location | 2200 Jefferson Ave, Toledo, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659735728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085B0100X | Radiology - Body Imaging | 2021012642 (Missouri) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962442475 PECOS PAC ID: 9830008770 Enrollment ID: O20031204000987 |
Entity Name | Miracl Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205304300 PECOS PAC ID: 4587908041 Enrollment ID: O20181210003487 |
Mailing Address | Practice Location Address |
---|---|
Joanna Fan, 2200 Jefferson Ave, Toledo, OH 43604-7101 Ph: (419) 251-1400 | Joanna Fan, 2200 Jefferson Ave, Toledo, OH 43604-7101 Ph: (419) 251-1400 |
Mohammed Said Al-natour, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Graduate Medical Education, Ms 1050, Toledo, OH 43614 Phone: 419-383-4244 Fax: 419-383-3108 | |
Jack F Conner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5757 Park Center Ct., Toledo, OH 43615 Phone: 419-474-4064 Fax: 419-472-2772 | |
Dr. Joseph Migliori Jr., D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-4340 | |
Mr. Robin B Shermis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5757 Park Center Ct., Toledo, OH 43615 Phone: 419-474-4064 Fax: 419-472-2772 | |
Dr. Donald L Cox, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2658 W. Laskey Road, 2nd Floor, Toledo, OH 43613 Phone: 419-473-8105 Fax: 419-254-2121 | |
Syed S Zamir, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-4340 | |
Mr. Jonathan J. Yobbagy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5757 Park Center Ct., Suite 200, Toledo, OH 43615 Phone: 419-474-4064 Fax: 419-472-2772 |