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Ryan Kondo Cunningham

Radiology

Allopathic & Osteopathic Physicians

100 N Academy Ave, Danville, PA 17822-5103

PECOS Enrollment

This provider is enrolled in PECOS as RYAN CUNNINGHAM.

Based on the most recent information from CMS, provider Ryan Kondo Cunningham 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 3 days ago.

Profile Details

Provider ID
1720399546
Provider Type
Individual
Full Name
Cunningham, Ryan Kondo
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/25/2010
Last Updated
8/5/2020

Contact Information

Practice Location

100 N Academy Ave, Danville, PA 17822-5103

(570) 271-6301

Unlisted Fax

Mailing Location

100 N Academy Ave, Danville, PA 17822-4903

(570) 271-6144

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License MD457330 Pennsylvania
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MT197836 Pennsylvania
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License MT197836 Pennsylvania

Ryan Kondo Cunningham

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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