Individual
DR. WILLIAM E PASSODELIS
Active
Individual
DR. WILLIAM E PASSODELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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