Organization
AZ-TECH RADIOLOGY & OPEN MRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKESH PAHWA (CHAIRMAN AND CEO)
(602) 763-4114
Entity
Organization
Contact information
Practice address
4915 E BASELINE RD, SUITE 116, GILBERT, AZ 85234
(480) 854-3369
(480) 889-3502
Mailing address
2653 W GUADALUPE RD, SUITE 201, MESA, AZ 85202-7200
(480) 889-1856
(480) 889-3502
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095505
—
AZ
Enumeration date
05/04/2007
Last updated
12/21/2017
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