Individual
BRAD WILLIAM CUSHNYR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 6TH ST SW, RADIOLOGY ASSOCIATES OF CANTON, INC - ATTN: CECILIA, CANTON, OH 44710-1702
(330) 363-2842
(330) 580-5536
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-082426
OH
2085R0202X
Diagnostic Radiology Physician
4301088020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2764549
—
OH
01
—
P00423245
RAILROAD MEDICARE
OH
Enumeration date
06/03/2006
Last updated
01/30/2025
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