Organization Name: | PREMIER DIAGNOSTIC IMAGING LLC |
NPI Number: | 1023049806 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAYAPRAKASARAO KONIJETI (MEDICAL DIRECTOR) |
Mailing Address: | 135 E Mccallister Dr Terre Haute |
State: | IN US |
Postal Code: | 478024247 |
Phone Number: | 8124783900 |
Fax Number: | 8124785868 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | XF201098 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |