Organization
MNAP DIAGNOSTIC IMAGING LLC
Active
Parent organization
PINNACLE PHYSICIANS GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINNACLE PHYSICIANS GROUP LLC
Authorized official
RAUL BINIAURISHVILI MD (MEDICAL DIRECTOR)
(215) 464-3300
Entity
Organization
Contact information
Practice address
9908 ROOSEVELT BLVD, PHILADELPHIA, PA 19115
(215) 673-9260
(215) 673-9254
Mailing address
9910 ROOSEVELT BLVD, PHILADELPHIA, PA 19115
(215) 673-9260
(215) 673-9254
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
213E00000X
Podiatrist
SC005791
PA
Other
Enumeration date
08/06/2010
Last updated
07/29/2015
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