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EITAN MEDINI MD
NPI 1962493643
Radiology - Radiation Oncology in St Cloud, MN

Active since November 02, 2005
1900 CENTRA CARE CIR #1600, CENTRA CARE CLINIC HEALTH PLAZA / RADIATION ONCOLOGY, ST CLOUD, MN 56303(320) 229-4901(320) 229-5160 Get Directions Write a Review

NPPES record last updated: August 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eitan Medini Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EITAN MEDINI MD (NPI 1962493643) is an individual radiation oncology provider in St Cloud, Minnesota, licensed in Minnesota (21866) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1962493643
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameEITAN MEDINICredential: MD
Location Address1900 CENTRA CARE CIR #1600, CENTRA CARE CLINIC HEALTH PLAZA / RADIATION ONCOLOGYSt Cloud, MN 56303-5000
Mailing Address1900 Centra Care Cir #1600, Centra Care Clinic Health Plaza / Radiation OncologySt Cloud, MN 56303-5000 · (320) 229-4901 · Fax (320) 229-5160
Phone(320) 229-4901
Fax(320) 229-5160
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateAugust 10, 2011
✔ NPI 1962493643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in MN · 21866
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
1900 CENTRA CARE CIR #1600, St Cloud, MN 56303
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Other Identifiers 14

Medicare UPINF55911
Medicare PIN920000210
Other1027482Preferred One
Other127789U Care
OtherHP33037Health Partners
OtherCOMPFirst Health Plan
Other512RIMEBlue Cross Blue Shield
OtherCOMPOne Health Plan Great Wes
Other315JOMEBlue Cross Blue Shield
Other2400101Medica Health Plans
Other978660Araz Group Americas Ppo
OtherCOMPChampus
OtherCOMPMmsi
Medicaid252563100MN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eitan Medini's NPI number?

The NPI number for Eitan Medini is 1962493643. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Eitan Medini located?

Eitan Medini practices at 1900 Centra Care Cir #1600 Centra Care Clinic Health Plaza / Radiation Oncology, St Cloud, MN 56303. The listed phone number is (320) 229-4901.

What is Eitan Medini's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Eitan Medini was last updated on August 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.