Individual
MAN HON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234-2165
(480) 256-6444
Mailing address
9076 E SAHUARO DR, SCOTTSDALE, AZ 85260-4510
(718) 737-1066
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
168463
NY
2085R0204X
Vascular & Interventional Radiology Physician
168463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01252313
—
NY
Enumeration date
06/13/2006
Last updated
11/04/2022
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