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NPI Code Detail

MEDICARE: GARY IHNAT MD

MEDICARE: GARY IHNAT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianS6214TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083032726
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY IHNAT MD
Provider Business Mailing Address
First Line : 1820 PRESTON PARK BLVD STE 2400
Second Line :
City : PLANO
State : TX
Zip : 75093-3716
Country : US
Telephone Number : 972-599-9327
Fax Number : 972-370-5963
Provider Business Practice Location Address
First Line : 1820 PRESTON PARK BLVD STE 2400
Second Line :
City : PLANO
State : TX
Zip : 75093-3716
Country : US
Telephone Number : 972-599-9327
Fax Number : 972-370-5963
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2014
Last Update Date : 08/19/2020

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