Organization · Type 2 NPI

Advanced Radiology P A

Diagnostic Radiology Physician · Fulton, MD

NPI number 1205791050 Active

Practice location

11810 W Market Pl
Fulton, MD 20759-2703

Fax (443) 436-1256

Mailing address

10461 Mill Run Cir Ste 1020
Owings Mills, MD 21117-5544

Specialties and licenses

TaxonomyCodeLicense
Nuclear Medicine Physician 207U00000XNone listed
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

5 other providers at this address

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About NPI 1205791050

Advanced Radiology P A's National Provider Identifier is 1205791050, issued on Dec 23, 2025. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fulton, MD. The record was last updated on Dec 23, 2025.