Organization
MISSOURI DELTA RADIOLOGY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOUD ZIAEE MD (PRESIDENT)
(573) 472-7342
Entity
Organization
Contact information
Practice address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-7342
(573) 472-3242
Mailing address
PO BOX 781, SIKESTON, MO 63801-0781
(314) 821-8055
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
10/22/2007
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