Doctor Name: | DR. ROBEN DAN AHDOOT |
NPI Number: | 1083757132 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A62395 |
Business Practice Address: | 3400 Data Dr Rancho Cordova, CA - 956707956 |
Business Phone Number: | 9163792948 |
Business Fax Number: | 9168587065 |
Mailing Address: | 3400 Data Dr, Physician Support Services RANCHO CORDOVA |
State: | CA |
Postal Code: | 956707956 |
Phone Number: | 9163792948 |
Fax Number: | 9168587065 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | A62395 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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. |