MEDICARE: DR. ELMER NAHUM 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	2085R0202X	Diagnostic Radiology Physician	MD062965L	PA

General Provider Information

NPI Number	:	1174522502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELMER NAHUM MD

Provider Business Mailing Address
First Line	:	PO BOX 49
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15230-0049
Country	:	US
Telephone Number	:	412-937-5949
Fax Number	:	412-937-5705

Provider Business Practice Location Address
First Line	:	401 LIBERTY AVENUE SUITE 2000
Second Line	:	FOUNDATION RADIOLOGY GROUP
City	:	PITTSBURGH
State	:	PA
Zip	:	15222
Country	:	US
Telephone Number	:	412-230-8200
Fax Number	:	412-202-8638

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	04/24/2017

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