1962458000 NPI number — STEVEN F MERANDI M.D.

Table of content: STEVEN F MERANDI M.D. (NPI 1962458000)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962458000 NPI number — STEVEN F MERANDI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MERANDI
Provider First Name:
STEVEN
Provider Middle Name:
F
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962458000
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2700 UNIVERSITY SQUARE DR
Provider Second Line Business Mailing Address:
RADIOLOGY ASSOCIATES OF TAMPA
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33612-5513
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-251-5822
Provider Business Mailing Address Fax Number:
813-254-4597

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2330 UTAH AVE STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EL SEGUNDO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90245-4817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-766-0959
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  M8358 , registered in the state of ID ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: ME58711 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 806279000 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 373028000 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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