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Individual

DR. ADEKA D MCINTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
MD438111
PA
2085P0229X
Pediatric Radiology Physician
Q0507
TX
2085R0202X
Diagnostic Radiology Physician
Primary
Q0507
TX
2085R0204X
Vascular & Interventional Radiology Physician
MD438111
PA
2085R0204X
Vascular & Interventional Radiology Physician
Q0507
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121715004
TX
05
121715008
TX
05
285250104
TX
Enumeration date
01/19/2007
Last updated
09/18/2014
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