Individual
PHILIP B LEPANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5221 US ROUTE 60 E, RADIOLOGY INC, HUNTINGTON, WV 25705-2022
(304) 522-1550
(304) 522-0704
Mailing address
PO BOX 910, RADIOLOGY INC, HUNTINGTON, WV 25712-0910
(304) 522-1550
(304) 522-1073
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
11879
WV
2085R0001X
Radiation Oncology Physician
15899
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206696
UNISON
OH
01
—
001718769
MTN STATE BCBS
—
05
—
0123029000
—
WV
05
—
0546618
—
OH
01
—
300021814
RAILROAD MEDICARE
WV
01
—
4349813
AETNA
—
01
—
50007238
PASSPORT
KY
01
—
55049337600
WORKMANS COMP
WV
05
—
64158991
—
KY
Enumeration date
12/22/2005
Last updated
01/08/2010
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