Individual
IAN LANDIS
Active
Individual
IAN LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS0004065
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042068900
—
FL
01
—
0782103
CIGNA
FL
01
—
102370
AVMED
FL
01
—
120001775
RAILROAD MEDICARE
FL
01
—
1209448
FIRST HEALTH/MAIL HANDLER
FL
01
—
1488395
UNITED HEALTHCARE
FL
01
—
16-00554
UNITEDHEALTHCARE MEDIPASS
FL
05
—
161752100
—
FL
01
—
17030
STAYWELL/HEALTHEASE
FL
01
—
288660
AMERIGROUP
FL
01
—
40016
FLORIDIANCARE
FL
01
—
820868
AETNA
FL
01
—
FDA 155978
EMBRACED PROGRAM
FL
01
—
OS0004065
WORKERS COMPENSATION
FL
01
—
V2489
BCBS OF FLORIDA
FL
Enumeration date
10/12/2006
Last updated
11/28/2007
Update your record
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