National Provider Identifier Database

NATHAN A CANNON, M.D./PH.D. – NPI #1225343072
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

NATHAN A CANNON, M.D./PH.D.
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN46845
Phone: 260-266-9100
Fax:
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for NATHAN A CANNON

NPI Number 1225343072
Credentials M.D./PH.D.
Entity Individual
Enumeration date 08/17/2010
Last updated 06/15/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 01075113A
  • IN Medicaid: 201292540
  • OH Medicaid: 0134869
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 NATHAN A CANNON, M.D./PH.D.

There are currently no reviews for NATHAN A CANNON, M.D./PH.D.


NPIdb - Home
v2.201