Organization
THERAPEUTIC RADIOLOGY MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOUCH AZAD M.D. (MEDICAL DIRECTOR)
(209) 572-7237
Entity
Organization
Contact information
Practice address
1700 COFFEE RD, DEPARTMENT OF RADIATION ONCOLOGY, MODESTO, CA 95355-2803
(209) 572-7237
(209) 526-5280
Mailing address
1700 COFFEE RD, DEPARTMENT OF RADIATION ONCOLOGY, MODESTO, CA 95355-2803
(209) 572-7237
(209) 526-5280
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0078260
—
CA
Enumeration date
07/05/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us