NPI 1609135243 · live from the CMS NPI Registry
Michaelangelo Gregory Fuortes, M.D., Ph.D.
Radiology, Diagnostic Radiology in Cedar Rapids, IA. National Provider Identifier 1609135243, active.
NPI record
| NPI | 1609135243 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1948 1st Ave Ne, Cedar Rapids, IA 52402 |
| Practice phone | 319-364-0121 |
| Enumerated | May 15, 2012 |
| Last updated | July 16, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD-44213 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.