Organization
SPECIALIZED RADIOLOGY SERVICES INC
Active
Organization
SPECIALIZED RADIOLOGY SERVICES INC
Active
Other names
PEDIATRIC RADIOLOGY OF AMERICA
Organization subpart
No
Provider details
NPI number
Authorized official
SHEHNAZ PANCHOLI (CEO)
(617) 868-0042
Entity
Organization
Contact information
Practice address
2840 ELECTRIC RD, SUITE 205-A, ROANOKE, VA 24018-3551
(540) 904-4088
Mailing address
2840 ELECTRIC RD, SUITE 205-A, ROANOKE, VA 24018-3551
(540) 904-4088
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
—
VA
2085R0202X
Diagnostic Radiology Physician
—
VA
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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