Organization
CHARTER RADIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARVINDER UPPAL MD (CEO)
(443) 917-2855
Entity
Organization
Contact information
Practice address
10700 CHARTER DR, SUITE 110, COLUMBIA, MD 21044-3631
(443) 917-2855
(410) 346-5775
Mailing address
10 LITTLE BROOK RD, WEST WAREHAM, MA 02576-1222
(800) 841-5200
(508) 273-1241
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422109500
—
MD
01
—
4895107
AETNA- NON HMO PRODUCTS ONLY
MD
01
—
617877900
ACS DEPT OF LABOR
MD
01
—
AV43
CAREFIRST
MD
Enumeration date
10/07/2013
Last updated
11/30/2023
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