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NPI Code Detail

MEDICARE: MARCHELLE JUNE BEAN GIANNINI M.D.

MEDICARE: MARCHELLE JUNE BEAN GIANNINI M.D.
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 Physician66352CT
22085R0202XDiagnostic Radiology PhysicianR9357TX
32085R0202XDiagnostic Radiology Physician2005-00389NC
42085R0202XDiagnostic Radiology PhysicianD58508MD

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 : 1174588503
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCHELLE JUNE BEAN GIANNINI M.D.
Provider Business Mailing Address
First Line : 2825 OAK LAWN AVE UNIT 192749
Second Line :
City : DALLAS
State : TX
Zip : 75219-4688
Country : US
Telephone Number : 844-389-5711
Fax Number : 877-880-2039
Provider Business Practice Location Address
First Line : 2825 OAK LAWN AVE UNIT 192749
Second Line :
City : DALLAS
State : TX
Zip : 75219-4688
Country : US
Telephone Number : 844-389-5711
Fax Number : 877-880-2039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 11/19/2024

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