Organization
KENNEWICK RADIOLOGY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDIP PATIDAR MD (OWNER)
(509) 392-5037
Entity
Organization
Contact information
Practice address
3810 PLAZA WAY, KENNEWICK, WA 99338-2722
(509) 585-5532
Mailing address
PO BOX 6800, PORTLAND, OR 97228-6800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
07/27/2021
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