Provider / Organization | NPI | Date Certified |
---|---|---|
JUDITH K. MERCHANT | 1639200207 | 2024-11-08 |
Judith K. Merchant is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1639200207. Registration indicates Judith K. Merchant is a provider of services with a specialization in Diagnostic Radiology (Radiology) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, )
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Judith K. Merchant M.D. |
Other Provider Name | Ms. Judith Ann Kliger |
Practice Office Address | 1475 NW 12TH AVE MIAMI, FL US |
Practice Office Telephone | 3052437055 |
Mailing Address | 1475 NW 12TH AVE MIAMI, FL 331361002 US |
Business Telephone | 3052437055 |
Code | Practice | License No State |
---|---|---|
2085R0202X PRIMARY | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | ME169046
FL |
200975850 | MEDICAID | IN | |
7100065410 | MEDICAID | KY |