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Contact Information

ROD G KRENTEL, MD
1340 BROAD AVE STE 140
GULFPORT, MS39501
 Phone: 228-575-2950
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ROD G KRENTEL · (Male)

NPI Number 1629060041
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2005
Last updated 09/05/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 00019798
  • MS License # 16116
  • AL Medicaid 000033662
Hospital affiliation(s)
  • BILOXI REGIONAL MEDICAL CENTER - (Acute Care)
    150 REYNOIR STREET
    BILOXI, MS 39530
  • MEMORIAL HOSPITAL AT GULFPORT - (Acute Care)
    4500 13TH ST-P O BOX 1810
    GULFPORT, MS 39502
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.

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