Organization
MNAP MEDICAL SOLUTIONS, INC
Active
Other names
MNAP Oncology Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGIY SHKURO (PRESIDENT)
(215) 464-3300
Entity
Organization
Contact information
Practice address
9908 ROOSEVELT BLVD, PHILADELPHIA, PA 19115-1705
(215) 464-3300
(215) 673-9254
Mailing address
9908 ROOSEVELT BLVD, PHILADELPHIA, PA 19115-1705
(215) 464-3300
(215) 673-9254
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
AC20-48693
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019492480001
—
PA
01
—
1646499
HIGHMARK BLUE SHIELD
PA
01
—
2324240000
KHPE
PA
01
—
2347186
UNITED HEALTHCARE
PA
01
—
30008154
KEYSTONE MERCY
PA
01
—
3266178
AETNA
PA
01
—
33677
HEALTH PARTNERS
PA
01
—
3Y3460
HEALTH NET
PA
01
—
9269
BRAVO/ELDER HEALTH
PA
01
—
P00056781
PALMETTO MEDICARE ID- TYPE UNSPECIFIED
PA
Enumeration date
06/10/2008
Last updated
07/01/2008
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