MEDICARE: MANHATTAN RADIOLOGY, LLP

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669577235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANHATTAN RADIOLOGY, LLP

Provider Business Mailing Address
First Line	:	1133 COLLEGE AVE STE C143
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-2751
Country	:	US
Telephone Number	:	785-539-7641
Fax Number	:	785-537-7620

Provider Business Practice Location Address
First Line	:	1133 COLLEGE AVENUE
Second Line	:	C143
City	:	MANHATTAN
State	:	KS
Zip	:	66502-2751
Country	:	US
Telephone Number	:	785-539-7641
Fax Number	:	785-537-7620

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	AMBER STEPHENSON
Credential	:
Telephone Number	:	785-370-3632

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	03/17/2026

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