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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