MICHAEL W STAVA

TRISTATE IMG (IMAGING MEDICAL GROUP) INC

Dr MICHAEL W STAVA is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1996 from University Of Kentucky College Of Medicine.

Contact

TRISTATE IMG (IMAGING MEDICAL GROUP) INC

3125 HAMILTON MASON RD
FAIRFIELD TOWNSHIP
OH
450115307

Tel: 5138948888

MICHAEL W STAVA Information

Npi 1053527408
Pac Id 0648354639
Professional Enrollment Id I20081119000004
Last Name STAVA
First Name MICHAEL
Middle Name W
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year 1996
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TRISTATE IMG (IMAGING MEDICAL GROUP) INC
Group Practice Pac Id 6204732365
Number Of Group Practice Members 33
Line 1 Street Address 3125 HAMILTON MASON RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FAIRFIELD TOWNSHIP
State OH
Zip Code 450115307
Phone Number 5138948888
Hospital Affiliation Ccn 1 360179
Hospital Affiliation Lbn 1 BETHESDA NORTH
Hospital Affiliation Ccn 2 360134
Hospital Affiliation Lbn 2 GOOD SAMARITAN HOSPITAL
Hospital Affiliation Ccn 3 360362
Hospital Affiliation Lbn 3 TRIHEALTH EVENDALE HOSPITAL
Hospital Affiliation Ccn 4 360163
Hospital Affiliation Lbn 4 CHRIST HOSPITAL
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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