Organization
MODESTO RADIOLOGY IMAGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIKUMAR KRISHNASWAMY (OFFICER/AUTHORIZED OFFICIAL)
(972) 713-3500
Entity
Organization
Contact information
Practice address
1524 MCHENRY AVE, # 100, MODESTO, CA 95350-4500
(209) 577-4444
(209) 527-2069
Mailing address
1524 MCHENRY AVE, # 100, MODESTO, CA 95350-4500
(209) 577-4444
(209) 527-2069
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/19/2011
Last updated
08/28/2024
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