Individual
BENNETT K ABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A71688
CA
2085R0202X
Diagnostic Radiology Physician
Primary
RHL00165925
CA
2085R0204X
Vascular & Interventional Radiology Physician
A71688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511830
—
NV
01
—
222452
WC
NV
01
—
222453
WC
NV
01
—
CC6103
BCBS
NV
Enumeration date
08/24/2006
Last updated
03/19/2025
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