Individual
DR. RONA K GAZAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
(612) 294-4903
Mailing address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
04-30252
KS
2085R0202X
Diagnostic Radiology Physician
Primary
04-30252
KS
2085R0202X
Diagnostic Radiology Physician
MD27878
ME
2085R0204X
Vascular & Interventional Radiology Physician
04-30252
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104750
BCBSKS
KS
05
—
200331720A
—
KS
01
—
8991
PHS
KS
01
—
P00231294
RR MEDICARE
KS
Enumeration date
10/13/2006
Last updated
03/05/2025
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