Organization
RICHARD A MCGAHAN PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A MCGAHAN MD (PRESIDENT)
(270) 904-0845
Entity
Organization
Contact information
Practice address
1728 ROCKINGHAM AVE, BOWLING GREEN, KY 42104-3379
(270) 904-0845
(270) 904-2651
Mailing address
7052 SOLUTIONS CTR, CHICAGO, IL 60677-7000
(270) 904-0845
(270) 904-2651
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22000000059921
ANTHEMBC/BS
KY
01
—
50004948
PASSPORT HEALTH
KY
05
—
65936353
—
KY
01
—
CA6455
RR MEDICARE
KY
Enumeration date
02/22/2007
Last updated
04/19/2023
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