Healthcare Provider Details

I. General information

NPI: 1336706142
Provider Name (Legal Business Name): DANIELLA KARASSAWA ZANONI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2019
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MUSC RADIOLOGY 96 JONATHAN LUCAS STREE MSC 323
CHARLESTON SC
29425-1009
US

IV. Provider business mailing address

PO BOX 751461
CHARLOTTE NC
28275-1461
US

V. Phone/Fax

Practice location:
  • Phone: 843-792-9243
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberR-11478
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number94061
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: