Healthcare Provider Details

I. General information

NPI: 1447637277
Provider Name (Legal Business Name): MORGANE ELIZABETH NAVEAU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2015
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 N ELM ST STE 200
GREENSBORO NC
27401-6304
US

IV. Provider business mailing address

PO BOX 85378
CHICAGO IL
60689-5378
US

V. Phone/Fax

Practice location:
  • Phone: 336-274-6682
  • Fax: 336-274-8097
Mailing address:
  • Phone: 336-274-6682
  • Fax: 336-274-8097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2021-02589
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number0101273155
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number86604
License Number StateSC
# 5
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD.61182962
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: