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NPI Code Detail

MEDICARE: DR. DUSHYANT MANN M.D.

MEDICARE: DR. DUSHYANT MANN M.D.
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 Physician62936AZ
22085R0202XDiagnostic Radiology PhysicianR75043AZ

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 : 1477932432
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DUSHYANT MANN M.D.
Provider Business Mailing Address
First Line : 1625 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-4330
Country : US
Telephone Number : 520-694-0111
Fax Number :
Provider Business Practice Location Address
First Line : 1625 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-4330
Country : US
Telephone Number : 520-694-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2015
Last Update Date : 05/04/2026

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Directions to “ DR. DUSHYANT MANN M.D.” Practice Location

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