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Andrew Nicholas Kozlov, MD

Nuclear Medicine · Salt Lake City

NPI 1093134702

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · University of Utah Adult Services · 1,758 clinicians in this group

Looking this up.

Hospitals listed: University of Utah Hospital and Clinics. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Kozlov’s office at (801) 213-2995 to ask if they take your plan before you enroll.

State licence records

1 licence

  • Florida ME150521Medical Doctor · since 2021 · expires 2027-01-31
    ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

School, training and certification

3 placements

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Education

  • University of Florida2009–2014

Residency and fellowship

  • Stanford University School of Medicine, OTHERStanford, CA · 2019–2020
  • Hospital of the University of Pennsylvania, DIAGNOSTIC RADIOLOGYPhiladelphia, PA · 2015–2019
  • St. Francis Hospital, TRANSITIONAL YEAREvanston, IL · 2014–2015

What else the board holds

Also licensed in

States the clinician told their board they are also licensed in. Only the states we check are verified.

California · Illinois · Oregon · Pennsylvania

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • University of Utah Hospital and ClinicsSalt Lake City, UTAcute Care Hospital · Government - State · Has an emergency department · Birthing-friendlyPart of University of Utah Hospitals and Clinics, which runs 2 hospitalsHome of Huntsman Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.603, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.55, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.518, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.595, Oct 2024 – Sep 2025Better than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 8.8 (7.3 to 10.3) · 1,119 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for University of Utah Hospital and Clinics

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 3 better, 4 the same, 1 worse of 8 measures. Readmissions: 2 better, 8 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at University of Utah Hospital and Clinics
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.603BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.55BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.518BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.595BetterOct 2024 – Sep 2025
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits8.8 (7.3 to 10.3) · 1,119 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.78 (0.03 to 1.53) · 3,231 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.91 (0.6 to 1.22)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths156.56 (123.99 to 189.13) · 297 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.8 · 68 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.3 · 69 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12 · 168 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.1 · 423 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.7 · 347 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.8 · 506 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.7 · 5,004 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0.02 to 0.37) · 11,361 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.08 to 0.43) · 12,089 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.06 (2.7 to 5.41) · 4,881 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.58 (0 to 3.27) · 204 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.55 (1.5 to 3.59) · 4,443 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.76 (0 to 15.4) · 212 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.49 (1.4 to 9.58) · 198 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.88 (0.63 to 3.14) · 1,317 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.5 (0.08 to 0.92) · 10,150 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths2.8 · 289 casesNoneApr 2023 – Mar 2025
SSI - Abdominal HysterectomyInfections0.204No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.738No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.5 · 213 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits17.5 · 664 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits0.4 · 180 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-34.8 · 478 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-7 · 374 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.2 · 535 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.8 (4.6 to 7) · 1,119 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 310 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10 · 72 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.2 · 113 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.6 (9.9 to 15.8) · 2,684 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.1 (0.9 to 1.2) · 2,156 casesNo differentJan 2024 – Dec 2024

What patients said (1,497 patients answered, 27% of those asked)

Patient survey stars by topic at University of Utah Hospital and Clinics
Cleanliness4
Nurse communication4
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness4
Recommend hospital5
Share of patients giving the best answer at University of Utah Hospital and Clinics
Room was "always" clean79%
Nurses "always" communicated well79%
Doctors "always" communicated well78%
Staff "always" explained59%
Yes, staff "did" give patients this information90%
Yes, staff "did" give patients information about help after discharge91%
Doctors "always" explained things so they could understand73%
Doctors "always" listened carefully77%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)78%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night61%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$50,444

Medicare paid this office $50,444 for 969 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Screening mammography239$8,156$34
Screening 3d breast mammography239$6,404$27
Nuclear medicine study from skull base to mid-thigh with ct scan70$5,566$78
Screening mammography111$4,203$38
Screening 3d breast mammography111$3,079$28
See all 18 services
Every Original Medicare service billed
Screening mammography239$8,156$34
Screening 3d breast mammography239$6,404$27
Nuclear medicine study from skull base to mid-thigh with ct scan70$5,566$78
Screening mammography111$4,203$38
Screening 3d breast mammography111$3,079$28
Biopsy of breast and placement of locating device using ultrasound, first growth21$2,245$107
Dxa bone density measurement of hip, pelvis, spine178$1,588$9
Biopsy of breast and placement of locating device using x-ray with needle, first growth13$1,586$122
Limited ultrasound scan of 1 breast66$1,472$22
Mri scan of both breasts18$1,327$74
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)65$1,268$20
Diagnostic mammography of 1 breast40$1,050$26
Nuclear medicine study of bone and/or joint whole body30$926$28
Nuclear medicine study, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging24$910$38
Diagnostic mammography of both breasts25$804$32
Placement of locating device in breast using ultrasound guidance, first growth14$756$54
Ct scan of chest with contrast18$722$40
Dxa bone density measurement of hip, pelvis, spine71$633$9

Who their Medicare patients are

969 Original Medicare patients in 2024. Average age 73 · Under 65 5% · 85 and older 6% · Women 81% · Also on Medicaid 8% · Health risk score 1.26. At or below the middle of the specialty; the typical nuclear medicine clinician is at 1.94.

Conditions among them: High blood pressure 63% · Depression 34% · Cancer 32% · Diabetes 23% · Coronary heart disease 16% · Chronic kidney disease 15% · Atrial fibrillation 13% · Heart failure 11% · COPD 8% · Stroke 7% · Dementia 5%.

The office billed $247,182, Medicare allowed $59,929 and paid $50,444; for 1,534 services of 55 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20249691,534731.26$247,182$50,444
20231,1882,160731.71$863,347$205,272
20222,6555,601722.11$3,825,483$860,292
20211,6694,676722.03$815,066$164,489
2020486774702.03$82,588$22,606
20191821761.40$2,626$377

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 25 services

Original Medicare services billed in 2023
Nuclear medicine study from skull base to mid-thigh with ct scan40$43,506$1,088
Nuclear medicine study whole body with ct scan14$16,269$1,162
Screening mammography339$12,143$36
Screening 3d breast mammography339$9,658$28
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries34$7,997$235
Screening mammography61$4,875$80
Nuclear medicine study from skull base to mid-thigh with ct scan45$4,019$89
Screening 3d breast mammography55$2,135$39
Mri scan of both breasts23$1,811$79
Dxa bone density measurement of hip, pelvis, spine150$1,395$9
Diagnostic mammography of both breasts15$1,192$79
Limited ultrasound scan of 1 breast42$1,110$26
Nuclear medicine study of bone and/or joint whole body35$1,033$30
Nuclear medicine study, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging18$958$53
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)39$866$22
X-ray of chest, 1 view110$820$7
Limited ultrasound scan of 1 breast17$699$41
Diagnostic mammography of 1 breast23$666$29
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)20$659$33
Diagnostic mammography of both breasts17$632$37
Dxa bone density measurement of hip, pelvis, spine31$613$20
Nuclear medicine study of stomach to assess emptying15$439$29
Nuclear medicine study of lung circulation15$412$27
Nuclear medicine study of parathyroid11$307$28
X-ray of abdomen, 1 view24$166$7

2022: 56 services

Original Medicare services billed in 2022
Nuclear medicine study from skull base to mid-thigh with ct scan274$306,305$1,082
Piflufolastat f-18, diagnostic, 1 millicurie26$106,707$456
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries234$86,809$357
Screening mammography432$55,088$128
Fluciclovine f-18, diagnostic, 1 millicurie13$49,204$384
Nuclear medicine study whole body with ct scan28$33,870$1,093
Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries13$27,961$2,151
Nuclear medicine study of brain with metabolic evaluation18$21,579$1,199
Screening 3d breast mammography252$13,302$53
Nuclear medicine study of bone and/or joint whole body41$8,923$212
Diagnostic mammography of both breasts75$8,678$116
Nuclear medicine study of stomach to assess emptying36$8,640$240
Dxa bone density measurement of hip, pelvis, spine184$6,703$36
Diagnostic mammography of 1 breast70$6,536$90
X-ray of chest, 1 view589$5,967$7
Nuclear medicine study of liver and bile duct system with use of drugs17$5,351$315
Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries16$4,872$305
Limited ultrasound scan of 1 breast67$4,578$65
Biopsy of breast and placement of locating device using x-ray with needle, first growth11$4,346$395
Mri scan of both breasts15$4,325$288
Nuclear medicine study, spect imaging, 1 area or single acquisition, single day imaging15$4,309$287
Nuclear medicine study of bone taken at different times15$3,592$239
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)85$3,514$41
Nuclear medicine studies of heart muscle at rest and with stress and spect49$3,074$63
Nuclear medicine study of parathyroid12$2,149$179
Nuclear medicine study of kidney, blood, flow, and function with drug administration16$2,100$131
X-ray of chest, 2 views98$2,040$21
Nuclear medicine study of parathyroid62$1,910$31
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries32$1,714$54
Ct scan of chest without contrast16$1,652$103
Injection, sincalide, 5 micrograms16$1,519None
Nuclear medicine study, spect imaging, 1 area or single acquisition, single day imaging38$1,517$40
Ct scan of abdomen and pelvis with contrast20$1,433$72
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries51$1,324$25
Nuclear medicine study of lung circulation40$1,267$28
Ct scan head or brain without contrast38$1,182$31
Ct scan of abdomen and pelvis without contrast16$1,092$68
X-ray of abdomen, 1 view122$1,085$7
Complete ultrasound scan of 1 breast11$1,078$98
Nuclear medicine study from skull base to mid-thigh with ct scan12$1,053$88
X-ray of chest, 2 views90$774$9
Technetium tc-99m sestamibi, diagnostic, per study dose14$723$52
Imaging for evaluation of swallowing function29$620$21
Nuclear medicine study of bone and/or joint whole body18$594$31
Nuclear medicine study of stomach to assess emptying20$551$28
Nuclear medicine study of liver and bile duct system with use of drugs16$522$33
Ct scan of chest without contrast11$454$41
Ultrasound study of one arm or leg veins with compression and maneuvers22$392$18
Injection, gadoteridol, (prohance multipack), per ml17$299$1
X-ray of hip, 2-3 views31$267$9
Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries22$204$9
X-ray of foot, minimum of 3 views13$95$7
X-ray of knee, 1-2 views13$93$7
X-ray of shoulder, minimum of 2 views12$91$8
X-ray of thigh bone, minimum 2 views11$80$7
Injection, furosemide, up to 20 mg16$15None

2021: 38 services

Original Medicare services billed in 2021
Nuclear medicine study from skull base to mid-thigh with ct scan27$27,067$1,002
Screening mammography140$17,944$128
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries25$9,500$380
Nuclear medicine study from skull base to mid-thigh with ct scan68$6,692$94
Screening mammography160$6,115$38
Ct scan of chest without contrast53$5,767$109
Screening 3d breast mammography85$4,569$54
Screening 3d breast mammography137$4,151$30
X-ray of chest, 1 view386$3,758$7
Diagnostic mammography of both breasts23$2,928$127
Limited ultrasound scan of 1 breast37$2,907$69
Diagnostic mammography of 1 breast27$2,658$98
Nuclear medicine study whole body with ct scan22$2,204$96
Dxa bone density measurement of hip, pelvis, spine57$2,117$37
Ct scan of abdomen and pelvis without contrast12$1,861$155
Nuclear medicine studies of heart muscle at rest and with stress and spect25$1,566$63
Nuclear medicine study of bone and/or joint whole body35$1,347$34
Ultrasound study of one arm or leg veins with compression and maneuvers13$1,249$96
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)27$1,168$43
Ultrasound scan of head and neck soft tissue12$1,095$91
X-ray of chest, 2 views44$1,088$25
Nuclear medicine study, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging18$1,030$57
X-ray of abdomen, 1 view83$728$7
Limited ultrasound scan of 1 breast24$618$25
Nuclear medicine study of lymphatic system13$603$46
Diagnostic mammography of both breasts20$584$29
Diagnostic mammography of 1 breast18$578$30
Imaging for evaluation of swallowing function24$513$21
Ct scan head or brain without contrast15$462$31
X-ray of chest, 2 views53$451$9
Nuclear medicine study, spect imaging, 1 area or single acquisition, single day imaging11$423$38
Nuclear medicine study of parathyroid13$403$31
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries14$330$24
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml28$215$0
X-ray of pelvis, 1-2 views16$112$7
X-ray of knee, 1-2 views14$94$6
X-ray of shoulder, minimum of 2 views11$91$8
X-ray of thigh bone, minimum 2 views11$80$7

2020: 10 services

Original Medicare services billed in 2020
Screening mammography169$6,719$40
Screening 3d breast mammography138$4,295$31
Nuclear medicine study from skull base to mid-thigh with ct scan25$2,378$95
X-ray of chest, 1 view126$1,218$8
Diagnostic mammography of both breasts19$707$37
Limited ultrasound scan of 1 breast18$552$29
Nuclear medicine study of bone and/or joint whole body15$530$35
Diagnostic mammography of 1 breast12$441$34
X-ray of chest, 2 views43$355$8
X-ray of abdomen, 1 view30$351$8

2019: 1 service

Original Medicare services billed in 2019
X-ray of chest, 2 views11$109$10

Medicaid work

$586 in 2023

Medicaid paid $586 for 186 billed services this clinician did in 2023, up to 38 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2023
Radiologic examination, chest; single view130$391
X-ray of abdomen, 1 view56$195
Medicaid work by year
2023186238$586
20221,6541185$31,804
2021936796$6,758
2020431662$3,871
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh14$11,548
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed336$9,751
Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited124$2,832
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries16$2,554
Radiologic examination, chest; single view716$1,763
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI120$1,344
Radiologic examination, chest; 2 views96$697
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI19$686
X-ray of abdomen, 1 view124$368
Computed tomography, head or brain; without contrast material15$262
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program74$0

2021

Largest Medicaid services in 2021
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh26$2,135
Radiologic examination, chest; single view562$1,802
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed111$1,641
X-ray of abdomen, 1 view147$454
Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited12$448
Radiologic examination, chest; 2 views61$279
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI17$0

2020

Largest Medicaid services in 2020
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed98$1,768
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh14$927
Radiologic examination, chest; single view234$896
X-ray of abdomen, 1 view56$196
Radiologic examination, chest; 2 views15$84
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI14$0

Money from drug and device companies

$191 in 2022

Industry payments by year
202211None$191
201911None$375

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
GE HealthCareNone$191
1 payment
  • Meals · 2022-06-23 · $191
See the published payment
Every published payment
GE HealthCareMeals · 2022-06-23None$191
See earlier years (2019)

2019: $375

Payments by company in 2019
HologicSelenia Dimensions$375
1 payment
  • Education for Selenia Dimensions · 2019-08-04 · $375

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
92.8 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1093134702
Licence
FL ME150521Florida ME150521: Active
Trained
University of Florida College of Medicine, 2014
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Diagnostic radiology (2085R0202X)
Mailing address
2700 University Square Dr, Tampa, FL, 33612
NPI first listed
2014-04-09
NPI last updated
2023-06-13
NPI record certified
2023-06-13

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 355 Ridge Ave, Evanston, IL, 60202 · 300 Pasteur Dr, Stanford, CA, 94305

This office lists an electronic records connection.