Organization
ALPHA DIAGNOSTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL CHIKVASHVILI PH.D (PRESIDENT/CEO)
(410) 363-4301
Entity
Organization
Contact information
Practice address
9 GWYNNS MILL CT, F, OWINGS MILLS, MD 21117-3527
(410) 363-4301
(410) 363-4302
Mailing address
9 GWYNNS MILL CT, F, OWINGS MILLS, MD 21117-3527
(410) 363-4301
(410) 363-4302
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
000674
MD
2084N0400X
Neurology Physician
000674
MD
2085R0202X
Diagnostic Radiology Physician
Primary
000674
MD
2085R0204X
Vascular & Interventional Radiology Physician
000674
MD
2085U0001X
Diagnostic Ultrasound Physician
000674
MD
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
000674
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52926701
CAREFIRST
MD
Enumeration date
07/12/2006
Last updated
04/10/2008
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