Kassanoff, Benjamin E

Kassanoff, Benjamin E is an individual health care provider with primary practice located at 501 E Hampden Ave , Englewood CO 80113-2702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Kassanoff, Benjamin E can be contacted via phone (303) 761-9190.

Contact Information

Primary practice address
501 E Hampden Ave Englewood CO 80113-2702
Phone: (303) 761-9190
Fax: (720) 874-4462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X J2121 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD17552 Hawaii
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25137 Nebraska
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 04-36295 Kansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 44004 Colorado
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X DR.0044004 Colorado

Profile Details

NPI number 1356345680
LBN Legal business name Kassanoff, Benjamin E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Mar 29th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356345680 NPPES
Nebraska MEDICAID 10025709000
Nebraska MEDICAID 1356345680
Nebraska MEDICAID 1356345680
Nebraska MEDICAID 1356345680
Nebraska MEDICAID 91031087
Nebraska MEDICAID 100160560A
Nebraska MEDICAID 41522257
Nebraska MEDICAID 84059792913
Nebraska MEDICAID 1356345680
Nebraska MEDICAID 200360190A

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