Organization · Type 2 NPI

Modesto Radiological Medical Group, Inc

Diagnostic Radiology Physician · San Jose, CA

NPI number 1740654912 Active

Practice location

6496 Deer Hollow Dr
San Jose, CA 95120-1634

Call (559) 455-4009 Map

Fax (916) 533-0313

Mailing address

1524 Mchenry Ave, Suite 430
Modesto, CA 95350-4500

Specialties and licenses

TaxonomyCodeLicense
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.

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About NPI 1740654912

Modesto Radiological Medical Group, Inc's National Provider Identifier is 1740654912, issued on Nov 25, 2015. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in San Jose, CA. The record was last updated on Jan 27, 2016.