ARVIN PENACERRADA NPI 1477174993

NPI Information

  • NPI: 1477174993
  • Provider Name: ARVIN PENACERRADA
  • Classification: Radiology - 2085U0001X
  • Specialization: Diagnostic Ultrasound
  • Entity Type: Individual
  • Address: 111 VISION PARK BLVD STE 250
    SHENANDOAH, TX
    ZIP 77384
  • Phone: (469) 909-2511

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NPI Details

Arvin Penacerrada is a diagnostic ultrasound radiology in Shenandoah, TX. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. Arvin Penacerrada NPI is 1477174993. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 VISION PARK BLVD STE 250
SHENANDOAH, TX
ZIP 77384-004
Phone: (469) 909-2511

The enumeration date for this NPI number is 5/6/2020 and was last updated on 5/6/2020.

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
12085U0001XRadiologyDiagnostic Ultrasound170495MARYLANDYes

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
1170495OTHERARDMS

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: 11/21/2025

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