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 |
| 1 | 2085N0904X | Radiology | Nuclear Radiology | G34426 | CALIFORNIA | No |
| 2 | 2085R0202X | Radiology | Diagnostic Radiology | G34426 | CALIFORNIA | No |
| 3 | 2085R0202X | Radiology | Diagnostic Radiology | 72054 | MASSACHUSETTS | No |
| 4 | 2085R0202X | Radiology | Diagnostic Radiology | 17163 | OKLAHOMA | No |
| 5 | 2085R0202X | Radiology | Diagnostic Radiology | 6008 | NEVADA | No |
| 6 | 2085R0202X | Radiology | Diagnostic Radiology | 00-38673 | NORTH CAROLINA | No |
| 7 | 2085R0202X | Radiology | Diagnostic Radiology | 5873 | NORTH DAKOTA | No |
| 8 | 2085R0202X | Radiology | Diagnostic Radiology | MD-00020956 | TENNESSEE | No |
| 9 | 2085R0202X | Radiology | Diagnostic Radiology | 16063 | WEST VIRGINIA | No |
| 10 | 2085R0202X | Radiology | Diagnostic Radiology | 15008 | ALABAMA | No |
| 11 | 2085R0202X | Radiology | Diagnostic Radiology | 19613 | ARIZONA | No |
| 12 | 2085R0202X | Radiology | Diagnostic Radiology | 032637 | GEORGIA | No |
| 13 | 2085R0202X | Radiology | Diagnostic Radiology | ME0074806 | FLORIDA | No |
| 14 | 2085R0202X | Radiology | Diagnostic Radiology | MD-6880 | HAWAII | No |
| 15 | 2085R0202X | Radiology | Diagnostic Radiology | H7483 | TEXAS | Yes |
