Provider Demographics
NPI:1265414692
Name:DOI, KEI (MD PHD)
Entity type:Individual
Prefix:
First Name:KEI
Middle Name:
Last Name:DOI
Suffix:
Gender:M
Credentials:MD PHD
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Other - Last Name:
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Mailing Address - Street 1:3839 DANBURY RD
Mailing Address - Street 2:NORTHEAST RADIOLOGY
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-5412
Mailing Address - Country:US
Mailing Address - Phone:845-278-6200
Mailing Address - Fax:845-278-7802
Practice Address - Street 1:3839 DANBURY RD
Practice Address - Street 2:NORTHEAST RADIOLOGY
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-5412
Practice Address - Country:US
Practice Address - Phone:845-278-6200
Practice Address - Fax:845-278-1613
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2016-03-31
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Provider Licenses
StateLicense IDTaxonomies
NY2374852085B0100X, 2085N0700X, 2085N0904X, 2085P0229X, 2085R0202X
NY237452085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
F83235Medicare UPIN