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NPI Code Detail

MEDICARE: NINA A MAYR MD

MEDICARE: NINA A MAYR 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
12085R0001XRadiation Oncology PhysicianMD60367448WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952409773
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA A MAYR MD
Provider Business Mailing Address
First Line : DEPARTMENT OF RADIATION ONCOLOGY
Second Line : 1959 NE PACIFIC STREET
City : SEATTLE
State : WA
Zip : 98195-6043
Country : US
Telephone Number : 206-598-4110
Fax Number : 206-598-3498
Provider Business Practice Location Address
First Line : DEPARTMENT OF RADIATION ONCOLOGY
Second Line : 1959 NE PACIFIC STREET
City : SEATTLE
State : WA
Zip : 98195-6043
Country : US
Telephone Number : 206-598-4110
Fax Number : 206-598-3498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 01/05/2018

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