MEDICARE: KATHERINE MARIA CYRAN 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
1	2085R0202X	Diagnostic Radiology Physician	35068874	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1801868351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE MARIA CYRAN M.D.

Provider Business Mailing Address
First Line	:	3360 TREMONT RD
Second Line	:	SUITE 130
City	:	COLUMBUS
State	:	OH
Zip	:	43221-2111
Country	:	US
Telephone Number	:	614-459-1596
Fax Number	:	614-459-1471

Provider Business Practice Location Address
First Line	:	3360 TREMONT RD
Second Line	:	SUITE 130
City	:	COLUMBUS
State	:	OH
Zip	:	43221-2111
Country	:	US
Telephone Number	:	614-459-1596
Fax Number	:	614-459-1471

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	09/03/2013

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