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1831190412

NPI Code Detail

MEDICARE: RICHARD F DIAZ MD

MEDICARE: RICHARD F DIAZ 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
1	2085R0001X	Radiation Oncology Physician	30803	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	108859	OTHER	MN	CHOICE PLUS
2	01272DI	OTHER	MN	BLUE CROSS/SHIELD
3	2400004	OTHER	MN	MEDICA PRIMARY
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	104833	OTHER	MN	UCARE
6	25134	OTHER	MN	AMERICA'S PPO
7	HP13158	OTHER	MN	HEALTH PARTNERS
8	2413463	OTHER	MN	MEDICA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	963070250006	OTHER	MN	PREFERRED ONE

General Provider Information

NPI Number	:	1831190412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD F DIAZ MD

Provider Business Mailing Address
First Line	:	7401 METRO BLVD STE 210
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55439-3086
Country	:	US
Telephone Number	:	952-920-4915
Fax Number	:	952-915-6091

Provider Business Practice Location Address
First Line	:	6401 FRANCE AVE S
Second Line	:	SOUTHDALE RADIATION THERAPY
City	:	EDINA
State	:	MN
Zip	:	55435-2104
Country	:	US
Telephone Number	:	952-920-8477
Fax Number	:	952-920-8176

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	11/28/2023

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Directions to “ RICHARD F DIAZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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