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Organization
MAMMOGRAPHY SPECIALISTS MEDICAL GROUP, INC
Active
Organization
MAMMOGRAPHY SPECIALISTS MEDICAL GROUP, INC
Active
Other names
Mammography Specialists Medical Group, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DIPA H. PATEL (MD)
(408) 800-5247
Entity
Organization
Contact information
Practice address
14651 S BASCOM AVE, SUITE 210, LOS GATOS, CA 95032-2014
(408) 356-6611
(408) 356-9001
Mailing address
14651 S BASCOM AVE, SUITE 210, LOS GATOS, CA 95032-2014
(408) 356-6611
(408) 356-9001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G49899
CA
Other
Enumeration date
12/21/2006
Last updated
05/26/2020
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