PALM DESERT RADIOLOGY MEDICAL GROUP INC NPI 1124079868

NPI Information

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.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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