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Organization
TRUXTUN RADIOLOGY MEDICAL GROUP, L.P.
Active
Organization
TRUXTUN RADIOLOGY MEDICAL GROUP, L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIRISH PATEL M.D. (GENERAL PARTNER)
(661) 325-6800
Entity
Organization
Contact information
Practice address
1817 TRUXTUN AVE, BAKERSFIELD, CA 93301-5008
(661) 325-6800
(661) 325-2409
Mailing address
1817 TRUXTUN AVE, BAKERSFIELD, CA 93301-5008
(661) 325-6800
(661) 325-2409
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
FNP 24510
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH1686
MEDICARE RAILROAD
CA
05
—
GR0047433
—
CA
05
—
GR0052451
—
CA
05
—
GR0052530
—
CA
05
—
GR0052534
—
CA
01
—
HSC30257G
MEDI-CAL GOOD SAM IN/PT
CA
01
—
HSP30724F
MEDI-CAL BHH IN/EMG PT
CA
01
—
HSP40724F
MEDI-CAL BHH OUT/PT
CA
01
—
ZZT40257G
MEDI-CAL GOOD SAM UR/CARE
CA
01
—
ZZZ17197Z
BLUE SHIELD PROVIDER NO
CA
01
—
ZZZ32102Z
BLUE SHIELD PROVIDER NO
CA
Enumeration date
06/20/2005
Last updated
07/17/2008
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