Organization
ADVANCED RADIOLOGY AND INTERVENTIONAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARDEEP ATHWAL MD (CEO)
(209) 342-2300
Entity
Organization
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 943-2000
Mailing address
450 GLASS LN STE C, MODESTO, CA 95356-9287
(209) 342-2300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
01/12/2022
Last updated
12/02/2024
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