Eileen Biunno, MD
Individual provider Active NPI Diagnostic Radiology Physician · Gallup, NM
NPI 1366420747 · NPPES record last updated Feb 10, 2012
Key facts
- NPI
- 1366420747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 85-140 (NM)
- Practice address
- 516 E. Nizhoni Blvd
Gallup, NM 87301-1337 - Phone
- (505) 722-1000
- Fax
- (505) 722-1192
- NPI assigned
- Jan 5, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85-140 | NM | MD | Diagnostic Radiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 85-140 | NM | Yes |
Addresses
Primary practice location
516 E. Nizhoni Blvd
Gallup, NM 87301-1337
Mailing address
P.O. Box 1337
Gallup, NM 87305-1337
Phone (505) 722-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00049373 | Other | RAILROAD MEDICARE | |
| 201000850 | Other | NM | PRESBYTERIAN HEALTH/SALUD |
| 85031326887301A099 | Other | CHAMPUS | |
| 10002097 | Other | NM | LOVELACE HEALTH/SALUD |
| R6765 | Medicaid | NM | |
| 413328 | Other | AZ | AHCCCS |
| NM011561 | Other | NM | BC/BS |
Other providers in Gallup, NM
- Jeremiah Quinton Billie
- Britni Billy
- Stephanie Billy
- Deeanne Bird
- Marisha Courtenay Bitahy
- Chantel Black
- Nancy A Black
- Elouise Blackgoat
- Michael G Blake
- Kyle Steven Blankenship
All providers in Gallup, NM · Diagnostic Radiology Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.