Individual
MONJARI GILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17310 WRIGHT ST STE 103, OMAHA, NE 68130-2405
(833) 228-6889
(877) 853-0376
Mailing address
PO BOX 79537, BALTIMORE, MD 21279-0537
(703) 824-3200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101840567
VA
2085R0202X
Diagnostic Radiology Physician
Primary
036154541
IL
2085R0202X
Diagnostic Radiology Physician
16949
ND
2085R0202X
Diagnostic Radiology Physician
2020033732
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300098962
RAILROAD MEDICARE
—
01
—
300098964
RAILROAD MEDICARE, COMPUTED TOMOGRAPHY ASSOCIATES
—
Enumeration date
09/26/2006
Last updated
12/06/2024
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