DELTA RADIOLOGY ASSOCIATES PLLC NPI 1164602967

NPI Information

  • NPI: 1164602967
  • Provider Name: DELTA RADIOLOGY ASSOCIATES, PLLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 1970 HOSPITAL DR
    CLARKSDALE, MS
    ZIP 38614
  • Phone: (863) 402-0064

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NPI Details

DELTA RADIOLOGY ASSOCIATES, PLLC is a diagnostic radiology radiology in Clarksdale, MS. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DELTA RADIOLOGY ASSOCIATES, PLLC NPI is 1164602967. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1970 HOSPITAL DR
CLARKSDALE, MS
ZIP 38614-202
Phone: (863) 402-0064

The provider's authorized official is Jason R Williams .
The authorized official title is President/physician and has the following contact phone number (863) 402-0064.

The enumeration date for this NPI number is 11/8/2007 and was last updated on 4/20/2008.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERMISSISSIPPITAX ID

What is NPI?

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This page was last updated on: 3/30/2025

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