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

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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