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General NPI Number Information
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NPI Number | 1942570627
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Entity Type | Organization
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Legal Business Name | KATHERINE M CYRAN MD LLC
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 3360 TREMONT RD
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City | COLUMBUS
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State | OH
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Zip | 43221-2111
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Country | US
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Telephone | 614-459-1596
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Fax | 614-459-1471
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Provider Business Mailing Address
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Address Line | 3360 TREMONT RD
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City | COLUMBUS
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State | OH
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Zip | 43221-2111
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Country | US
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Telephone | 614-459-1596
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Fax | 614-459-1471
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | KATHERINE M CYRAN
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Credential | MD
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Telephone | 614-208-6263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35068874
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License Number State | OH
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