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Michael Anthony Todora

Radiology

Allopathic & Osteopathic Physicians

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

PECOS Enrollment

This provider is enrolled in PECOS as MICHAEL TODORA.

Based on the most recent information from CMS, provider Michael Anthony Todora is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1063465920
Provider Type
Individual
Full Name
Todora, Michael Anthony
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/19/2006
Last Updated
3/12/2025

Contact Information

Practice Location

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

(952) 595-1100

(612) 294-4903

Mailing Location

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

(952) 595-1100

(612) 294-4903

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License L5930 Texas
Code 2085B0100X	Description Radiology Allopathic & Osteopathic Physicians	License L5930 Texas
Code 2085N0700X	Description Radiology Allopathic & Osteopathic Physicians	License L5930 Texas
Code 2085N0904X	Description Radiology Allopathic & Osteopathic Physicians	License L5930 Texas
Code 2085P0229X	Description Radiology Allopathic & Osteopathic Physicians	License L5930 Texas
Code 2085R0204X	Description Radiology Allopathic & Osteopathic Physicians	License L5930 Texas
Code 2085U0001X	Description Radiology Allopathic & Osteopathic Physicians	License L5930 Texas

Provider Identifiers

ID	Description	Issuer
ID L5930	Description Other	Issuer TX PHYSICIANS PERMIT Texas

Michael Anthony Todora

PECOS Enrollment

Profile Details

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