MEDFORD DIALYSIS ACCESS P.C. NPI 1205917804

NPI Information

  • NPI: 1205917804
  • Provider Name: MEDFORD DIALYSIS ACCESS P.C.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • Address: 3241 ROUTE 112
    BLDG #7
    MEDFORD, NY
    ZIP 11763
  • Phone: (631) 732-4600

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NPI Details

MEDFORD DIALYSIS ACCESS P.C. is a vascular and interventional radiology radiology in Medford, NY. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. MEDFORD DIALYSIS ACCESS P.C. NPI is 1205917804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3241 ROUTE 112
BLDG #7
MEDFORD, NY
ZIP 11763-434
Phone: (631) 732-4600
Fax: (631) 732-4656

The provider's authorized official is Purshotam Lal Nagwani .
The authorized official title is President/owner and has the following contact phone number (631) 732-4600.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 8/22/2020.

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
12085R0204XRadiologyVascular & Interventional RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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