| Organization Name: | DANWANTRY MEDICAL & IMAGING SERVICES, LLC |
| NPI Number: | 1356559322 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAGHAVA A. BHASKARAN (PHYSICIAN) |
| Mailing Address: | 4961 Buford Hwy Suite 102 Chamblee |
| State: | GA US |
| Postal Code: | 303413503 |
| Phone Number: | 4789981471 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 11/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 025580 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |