NPI 1073662243 · live from the CMS NPI Registry
Sara C. Gavenonis, MD
Radiology, Diagnostic Radiology in Newark, DE. National Provider Identifier 1073662243, active.
NPI record
| NPI | 1073662243 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 4755 Ogletown Stanton Rd, Dept Of Radiology, Christiana Care Health Services, Newark, DE 19718 |
| Practice phone | 302-733-1806 |
| Enumerated | January 9, 2007 |
| Last updated | February 28, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 231225 (MA) |
| Radiology, Diagnostic Radiology | 2085R0202X | MD431328 (PA) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | C1-0010238 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.