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Individual

CHAD POOPAT

Active
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Individual

CHAD POOPAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14710
NV
2085R0202X
Diagnostic Radiology Physician
4301076679
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
487475910
MI
01
700H262300
BLUE CROSS-BLUE CROSS
01
CP076679
CHAMPUS-CHAMPUS
01
P01197938
RR MEDICARE DESERT RADIOLOGISTS
NV
01
P01199934
RR MEDICARE DRS
NV
Enumeration date
08/07/2006
Last updated
01/22/2014
Update your record

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