Organization
FAWCETT IMAGING PORT CHARLOTTE PA
Active
Organization
FAWCETT IMAGING PORT CHARLOTTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMANAN VENKAT (PRESIDENT)
(810) 230-9215
Entity
Organization
Contact information
Practice address
21298 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6705
(810) 230-9215
Mailing address
2325 STONEBRIDGE DR, FLINT, MI 48532-5407
(810) 230-9215
(810) 230-9225
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up