Individual provider · Type 1 NPI

Theodore Cosmo Marentis, MD

Diagnostic Radiology Physician · Carmichael, CA

NPI number 1740424134 Active

Practice location

6501 Coyle Ave, Nuclear Medicine
Carmichael, CA 95608-0306

Call (916) 537-5208 Map

Fax (916) 537-5425

Mailing address

3400 Data Dr, Physician Support Services
Rancho Cordova, CA 95670-7956

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X4301093810 (MI)
Diagnostic Radiology Physician Primary 2085R0202XA131413 (CA)

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

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About NPI 1740424134

Theodore Cosmo Marentis, MD's National Provider Identifier is 1740424134, issued on Apr 29, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Carmichael, CA. The record was last updated on Sep 22, 2014.