Individual
MAKSIM MOKRUSHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T.(MR)(ARRT)
Contact information
Practice address
5820 VILLA ROSA WAY, ELK GROVE, CA 95758-6138
(916) 230-3437
Mailing address
5820 VILLA ROSA WAY, ELK GROVE, CA 95758-6138
(916) 230-3437
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
1106772
CA
Other
Enumeration date
11/20/2025
Last updated
11/25/2025
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