Dr Glenn P Moradian, MD - Radiology in Williston, ND

Dr Glenn P Moradian, MD is a Radiology - Diagnostic Radiology physician based in Williston, North Dakota. Dr Glenn P Moradian is licensed to practice in North Dakota (license number PT11018) and his current practice location is 1301 15th Ave W, Williston, North Dakota. He can be reached at his office (for appointments etc.) via phone at (701) 774-7401.

NPI number for Dr Glenn P Moradian is 1356349955 and his current mailing address is Po Box 2537, Williston, North Dakota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356349955.

Contact Information

Dr Glenn P Moradian, MD
1301 15th Ave W,
Williston, ND 58801-3821
(701) 774-7401
Not Available



Physician's Profile

Full NameDr Glenn P Moradian
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location1301 15th Ave W, Williston, North Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356349955
  • Provider Enumeration Date: 07/08/2005
  • Last Update Date: 10/17/2008

Medical Identifiers

Medical identifiers for Dr Glenn P Moradian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356349955NPI-NPPES
000010149530OtherIDBS INDIVIDUAL PIN NUMBER
74070OtherUTBC OF IDAHO
B4059OtherUTBC OF IDAHO
B5651OtherUTBC OF IDAHO
P00203248OtherIDRR MEDICARE NO
804043200MedicaidID
15042MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology PT11018 (North Dakota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glenn P Moradian is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Glenn P Moradian, MD
Po Box 2537,
Williston, ND 58802-2537

Ph: (866) 338-6472
Dr Glenn P Moradian, MD
1301 15th Ave W,
Williston, ND 58801-3821

Ph: (701) 774-7401

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Radiology Doctors in Williston, ND

Dr. Leszek J Jaszczak, M.D.
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 3 4th St E, Suite 201, Williston, ND 58801
Phone: 701-577-6337    
Madhusudhan P Reddy, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1301 15th Ave. W., Williston, ND 58801
Phone: 701-774-7400    Fax: 701-774-7479
Mark R Krakovitz, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1301 15th Ave. W., Williston, ND 58801
Phone: 701-774-7435    Fax: 701-774-7479

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