Charles Raymond Shideman in Edina - Radiation Oncology
Charles Raymond Shideman - NPI 1841466026
Charles Raymond Shideman is a Radiation Oncology in Edina, Minnesota. Charles Raymond Shideman practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Charles Raymond Shideman is 1841466026. The last update date is 2017-10-03.
Charles Raymond Shideman's current location address is 7401 Metro Blvd Ste 210, Edina, Minnesota. You can contact this provider via phone number 9529204915 and fax number 9529156098. The mailing address for Charles Raymond Shideman is 7401 Metro Blvd Ste 210, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Raymond Shideman |
|---|---|
| Address | 7401 Metro Blvd Ste 210, Edina, Minnesota |
| Phone Number | 9529204915 |
| Fax Number | 9529156098 |
| Sole Proprietor | N |
| Credentials | M.D., PH.D |
NPI Number Detail
| NPI Number | 1841466026 |
|---|---|
| Provider Enumeration Date | 2008-05-07 |
| Last Updated Date | 2017-10-03 |
Provider Mailing Address Detail
| Address | 7401 Metro Blvd Ste 210 |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554393086 |
| Phone Number | 9529204915 |
| Fax Number | 9529156098 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | 54992 |
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Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1841466026 | MN | NPI |
Post Comment/ Review Below
What is the Charles Raymond Shideman's unique identification number?
The Charles Raymond Shideman has been assigned the NPI (National Provider Identifier) Number 1841466026 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Charles Raymond Shideman is physically located?
The Charles Raymond Shideman is situated at the following address: 7401 Metro Blvd Ste 210, Edina, MN 554393086.
What is Charles Raymond Shideman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles Raymond Shideman is Radiation Oncology, and the taxonomy code that classifies this field of practice is 2085R0001X.
On what date did the Charles Raymond Shideman receive the assignment of its 1841466026 from the Centers for Medicare & Medicaid Services?
The Charles Raymond Shideman was issued its 1841466026 by the Centers for Medicare & Medicaid Services on 2008-05-07.
As of what date were the Charles Raymond Shideman's details last updated?
The information pertaining to the Charles Raymond Shideman, including its address, specialty, and other details, was most recently updated on 2017-10-03.