Individual
DR. ELLEN R BLATT
Active
Individual
DR. ELLEN R BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-36346
KS
2085R0202X
Diagnostic Radiology Physician
24976
NE
2085R0202X
Diagnostic Radiology Physician
Primary
43492
CO
2085R0202X
Diagnostic Radiology Physician
MD17582
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025709000
—
NE
05
—
121622800
—
WY
05
—
1530354
—
TN
05
—
1730165911
—
CA
05
—
1730165911
—
ID
05
—
1730165911
—
MI
05
—
1730165911
—
MT
05
—
1730165911
—
SD
05
—
1730165911
—
UT
05
—
177858
—
AL
05
—
177858
—
AZ
05
—
200096808
—
MO
05
—
200332770A
—
KS
05
—
2193139
—
LA
05
—
41502086
—
NM
05
—
61322318
—
CO
05
—
84059792913
—
NE
05
—
XPY203692
—
CA
Enumeration date
12/19/2005
Last updated
01/25/2016
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