National Provider Identifier Database

IAN R WHITESIDE, MD – NPI #1437560430
Body Imaging

A Radiology doctor of Osteopathy that specializes in Body Imaging.


Contact Information

IAN R WHITESIDE, MD
200 BELLE TERRE RD
PORT JEFFERSON, NY11777-1968
Phone: 631-474-6000
Fax:
Website:
Specialty Taxonomy Code
* Body Imaging 2085B0100X
Diagnostic Ultrasound 2085U0001X

* Indicates primary specialty

NPI Profile & details for IAN R WHITESIDE

NPI Number 1437560430
Credentials MD
Entity Individual
Enumeration date 05/13/2014
Last updated 07/24/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 303407
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for IAN R WHITESIDE, MD

There are currently no reviews for IAN R WHITESIDE, MD


NPIdb - Home
v2.201