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Organization

RADIOLOGICA INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PARDEEP ATHWAL MD, MBA (PRESIDENT)
(209) 754-2573
Entity
Organization

Contact information

Practice address
768 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9707
(209) 754-2573
Mailing address
450 GLASS LN STE C, MODESTO, CA 95356-9287
(209) 342-2300
(209) 524-4240

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A144278
CA

Other

Enumeration date
04/14/2018
Last updated
11/22/2018
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