Organization
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED GASCHEN (EXECUTIVE VICE PRESIDENT)
(916) 646-8300
Entity
Organization
Contact information
Practice address
2801 L ST, SACRAMENTO, CA 95816
(916) 733-3061
(416) 733-8925
Mailing address
1500 EXPO PARKWAY, SACRAMENTO, CA 95815
(916) 646-8406
(916) 920-4434
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085R0205X
Radiological Physics Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0028513
—
CA
Enumeration date
11/17/2005
Last updated
09/28/2007
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