Organization
IMAGING ASSOCIATES OF PORTERVILLE
Active
Other names
NARIN SIRIBHADRA M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
NARIN SIRIBHADRA M.D. (OWNER)
(559) 782-1065
Entity
Organization
Contact information
Practice address
811 W MORTON AVE, PORTERVILLE, CA 93257-3131
(559) 782-1065
(559) 791-0166
Mailing address
PO BOX 1866, PORTERVILLE, CA 93258-1866
(559) 782-1065
(559) 791-0166
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780634576
—
CA
01
—
ZZZ67018Z
BLUE SHIELD PROVIDER NUMB
CA
Enumeration date
05/11/2006
Last updated
07/03/2008
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