Doctor Name: | KENNETH H SEGEL |
NPI Number: | 1063496800 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036086105 |
Business Practice Address: | 8701 Broadway Merrillville, IN - 464107035 |
Business Phone Number: | 2197385564 |
Business Fax Number: | 2197386714 |
Mailing Address: | 55 E 86th Ave, Po Box 10645 MERRILLVILLE |
State: | IN |
Postal Code: | 464106382 |
Phone Number: | 2197691670 |
Fax Number: | 2197386714 |
NPI Enumeration Date: | 12/05/2005 |
NPI Last Update Date: | 02/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 036086105 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |