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NPI Code Detail

MEDICARE: CHARLES MUCHNOK MD

MEDICARE: CHARLES MUCHNOK 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 PhysicianME108375FL
22085R0202XDiagnostic Radiology Physician35070522-MOH

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 : 1942273230
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES MUCHNOK MD
Provider Business Mailing Address
First Line : 838 MARKET STREET
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701
Country : US
Telephone Number : 740-452-9319
Fax Number : 740-452-2427
Provider Business Practice Location Address
First Line : 14055 RIVEREDGE DR STE 250
Second Line :
City : TAMPA
State : FL
Zip : 33637-2141
Country : US
Telephone Number : 813-929-5451
Fax Number : 813-929-5465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 05/01/2025

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