Organization Name: | VALPARAISO RADIOLOGY GROUP, LLC |
NPI Number: | 1043269012 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOHAMMED ABBAS (PRESIDENT) |
Mailing Address: | 2411 Laporte Ave Valparaiso |
State: | IN US |
Postal Code: | 463836914 |
Phone Number: | 2194767226 |
Fax Number: | 2197386714 |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |