| Kenneth E Marnocha, MD | |
|
253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | |
| (765) 448-8000 | |
| Not Available |
| Full Name | Kenneth E Marnocha |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 253 Sagamore Pkwy W, West Lafayette, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699744342 | NPI | - | NPPES |
| 156682 | Other | IN | PHCS PID NUMBER |
| 10825542 | Other | IN | CAQH NUMBER |
| 000000202120 | Other | IN | ANTHEM PROVIDER NUMBER |
| 100320630 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 01031076A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth E Marnocha, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Kenneth E Marnocha, MD 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 Ph: (765) 448-8000 |
Paul E Timperman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 | |
Phyllis Martin-simmerman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-8335 | |
Dr. Luke Gerges, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 | |
Dr. Imran Kazem, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 | |
Dr. Joshua Austin Nepute, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 | |
Jeffrey S. Cahoon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-446-7085 |