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NPI Code Detail

MEDICARE: UNICOM RADIOLOGY SERVICES, PLLC

MEDICARE: UNICOM RADIOLOGY SERVICES, PLLC
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 Physician

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 : 1285688655
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNICOM RADIOLOGY SERVICES, PLLC
Provider Business Mailing Address
First Line : PO BOX 32364
Second Line :
City : KNOXVILLE
State : TN
Zip : 37930-2364
Country : US
Telephone Number : 865-531-6070
Fax Number :
Provider Business Practice Location Address
First Line : 401 TAKOMA AVE
Second Line :
City : GREENEVILLE
State : TN
Zip : 37743-4647
Country : US
Telephone Number : 423-636-2362
Fax Number :
Authorized Official
Title or Position : CHIEF MANAGER/OWNER
Name : RAYMOND E KOHNE
Credential : M.D.
Telephone Number : 423-636-2362
Provider Enumeration Date : 05/20/2006
Last Update Date : 02/24/2009

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Directions to “UNICOM RADIOLOGY SERVICES, PLLC ” Practice Location

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