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PRESCOTT INTERVENTIONAL RADIOLOGY LLC NPI 1457314825


NPI Information

NPI: 1457314825
Provider Name: PRESCOTT INTERVENTIONAL RADIOLOGY LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
980 WILLOW CREEK RD
PRESCOTT, AZ
ZIP 86301
Phone: (928) 443-0077
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PRESCOTT INTERVENTIONAL RADIOLOGY LLC is a diagnostic radiology radiology in Prescott, AZ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PRESCOTT INTERVENTIONAL RADIOLOGY LLC NPI is 1457314825. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

980 WILLOW CREEK RD
PRESCOTT, AZ
ZIP 86301-611
Phone: (928) 443-0077
Fax: (928) 443-0019

The provider's authorized official is Mohamed A Kirdani .
The authorized official title is President Owner and has the following contact phone number (928) 443-0077.

The enumeration date for this NPI number is 4/7/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes
22085R0204XRadiologyVascular & Interventional RadiologyX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11Z7128OTHERHEALTH NET

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: 4/28/2024

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