Individual
MICHAEL OLIPHANT
Active
Individual
MICHAEL OLIPHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
19526
NC
2085R0204X
Vascular & Interventional Radiology Physician
19526
NC
2085U0001X
Diagnostic Ultrasound Physician
19526
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130K6
BCBS
NC
05
—
2005653000
—
WV
01
—
46205
PARTNERS
NC
05
—
7248164
—
VA
01
—
7816329
AETNA
—
05
—
89130K6
—
NC
01
—
B3170
MEDCOST
NC
05
—
Q19526
—
SC
Enumeration date
01/05/2006
Last updated
10/08/2010
Update your record
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