Organization
PROFESSIONAL X-RAY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS ANNAMARJU MD (RADIOLOGIST)
(724) 527-3551
Entity
Organization
Contact information
Practice address
600 JEFFERSON AVE, JEANNETTE, PA 15644-2505
(724) 527-3551
(724) 527-6519
Mailing address
PO BOX 160, GRAVEVILLE, AL 15634
(724) 527-6517
(724) 527-6519
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009210190010
—
PA
01
—
CF7023
RRMED
—
Enumeration date
07/12/2005
Last updated
07/21/2022
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