EITAN MEDINI MD – NPI #1962493643
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

EITAN MEDINI is a radiologist located in SAINT CLOUD, MN. NPPES has assigned the NPI number 1962493643 to EITAN MEDINI on November 02, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 15 years ago on Aug 10, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EITAN MEDINI below.

NPI Profile for
EITAN MEDINI

NPI Number
1962493643
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EITAN MEDINI
Credentials
MD
Primary location
1900 CENTRA CARE CIR #1600
CENTRA CARE CLINIC HEALTH PLAZA / RADIATION ONCOLOGY
SAINT CLOUD, MN 56303-5000
Phone: (320) 229-4901 Fax: (320) 229-5160
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for EITAN MEDINI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERARAZ GROUP AMERICAS PPO978660
OTHERBLUE CROSS BLUE SHIELD315JOME
OTHERBLUE CROSS BLUE SHIELD512RIME
OTHERCHAMPUSCOMP
OTHERFIRST HEALTH PLANCOMP
OTHERHEALTH PARTNERSHP33037
OTHERMEDICA HEALTH PLANS2400101
OTHERMMSICOMP
OTHERONE HEALTH PLAN GREAT WESCOMP
OTHERPREFERRED ONE1027482
OTHERU CARE127789
MEDICAIDMN252563100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)
MN 21866

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.