Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Morenike Fanu

Individual provider Diagnostic Radiology Physician · NPI 1720548365

Morenike Fanu is a Diagnostic Radiology in Minneapolis, Minnesota. Qualified in 2019, 7 years ago. Practices with Northside Radiology Associates LLC, a 384-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Minnesota.

Years since qualifying
7
Licensed in
GA, MN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

420 Delaware Street SE Mmc 292
Minneapolis, MN 55455
Phone: (612) 626-5589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 350 W Thomas Rd, Phoenix, AZ 85013-4409 — (602) 406-4440

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 104926 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 72342 (MN)

Record details

NPI number1720548365
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing address350 W Thomas Rd, Phoenix, AZ 85013-4409

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northside Radiology Associates Llc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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