| Nissar Vahora, | |
|
2355 Hwy 36 W., Roseville, MN 55113 | |
| (651) 292-2000 | |
| Not Available |
| Full Name | Nissar Vahora |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 13 Years |
| Location | 2355 Hwy 36 W., Roseville, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407299423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 64854 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Southdale Hospital | Edina, MN | Hospital |
| Fairview Ridges Hospital | Burnsville, MN | Hospital |
| Chippewa County Hospital | Montevideo, MN | Hospital |
| Meeker Memorial Hospital | Litchfield, MN | Hospital |
| Carris Health - Redwood, Llc | Redwood falls, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Radiology Pa | 4486568482 | 211 |
| Madison Healthcare Services | 9638080187 | 37 |
| Midwest Radiology Pa | 4486568482 | 211 |
| Fairview Express Care | 3375645179 | 2000 |
| Suburban Imaging Llc | 4688564867 | 145 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20230419002500 |
| Entity Name | Midwest Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952307175 PECOS PAC ID: 4486568482 Enrollment ID: O20230724002061 |
| Entity Name | Madison Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942246848 PECOS PAC ID: 9638080187 Enrollment ID: O20240711000800 |
| Entity Name | Ridgeview Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811174923 PECOS PAC ID: 9234041997 Enrollment ID: O20241122003528 |
| Entity Name | Lutheran Charity Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700038981 PECOS PAC ID: 2264341031 Enrollment ID: O20241126002316 |
| Mailing Address | Practice Location Address |
|---|---|
| Nissar Vahora, 2355 Hwy 36 W, Ste. 100, Roseville, MN 55113 Ph: (651) 292-2000 | Nissar Vahora, 2355 Hwy 36 W., Roseville, MN 55113 Ph: (651) 292-2000 |
Dr. Amanjit Singh Baadh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-0000 | |
Dr. Jonathan P Williams, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Dr. Grant Michael Riesberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Jorge A Leon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Dr. Darrin Lee Johnson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Hwy 36 W, Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 | |
John P Knoedler Jr., MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Robert John Hosker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 Fax: 651-681-1140 |