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Organization
SHAFA MOBILE DIAGNOSTIC MANAGEMENT INC
Active
Organization
SHAFA MOBILE DIAGNOSTIC MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIZAR ALIKHAN (AUTHORIZED OFFICIAL)
(301) 591-4184
Entity
Organization
Contact information
Practice address
2801 REGAL RD, STE 110, PLANO, TX 75075-6315
(972) 612-2600
(972) 612-2602
Mailing address
2801 REGAL RD, STE 110, PLANO, TX 75075-6315
(972) 612-2600
(972) 612-2602
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
261QR0208X
Mobile Radiology Clinic/Center
—
NULL
Other
Enumeration date
10/06/2014
Last updated
12/18/2014
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