Individual
DR. WILLIAM E PASSODELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1670 RIVER RD, BEAVER, PA 15009-2412
(724) 774-5227
Mailing address
1670 RIVER RD, BEAVER, PA 15009-2412
(724) 774-5227
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01059792A
IN
2085R0202X
Diagnostic Radiology Physician
35066851
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225226
UNISON
OH
01
—
000000538713
AMTHEM
OH
01
—
0304914
BCMH
OH
05
—
0982165
—
OH
05
—
102974130
—
PA
05
—
200315510
—
IN
01
—
415018
WELLCARE
OH
01
—
751180
BUCKEYE
OH
01
—
7692258
AETNA
OH
01
—
ME78324
FLORIDA MEDICAL LICENSE
FL
01
—
P00398037
RAILROAD MEDICARE
OH
Enumeration date
06/06/2006
Last updated
06/21/2024
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