Individual
NATHAN MICHAEL FAGAN
Active
Individual
NATHAN MICHAEL FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
35.133506
OH
2085R0202X
Diagnostic Radiology Physician
35133506
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0404789
—
OH
01
—
H715592
CGS - MEDICARE
OH
Enumeration date
04/02/2012
Last updated
05/19/2022
Update your record
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