NPI: 1124079868
Provider Name: PALM DESERT RADIOLOGY MEDICAL GROUP, INC
Doing Business As: EISENHOWER RADIOLOGY MEDICAL GROUP, INC
Classification: Radiology - 2085R0202X
Entity Type: Organization
Specialization: Diagnostic Radiology
CLIA Number: 05D1010347
Address:
39000 BOB HOPE DR
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 837-8449
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PALM DESERT RADIOLOGY MEDICAL GROUP, INC is a diagnostic radiology radiology in Rancho Mirage, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PALM DESERT RADIOLOGY MEDICAL GROUP, INC NPI is 1124079868. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eisenhower Radiology Medical Group, Inc.
The provider's business location address is:
39000 BOB HOPE DR
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 837-8449
Fax: (775) 624-9774
The provider's authorized official is Mehran K. Elly .
The authorized official title is President and has the following contact phone number (760) 837-8449.
The CLIA number assigned to this NPI record is 05D1010347 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/15/2006 and was last updated on 2/5/2024.