Organization
AZTECH RADIOLOGY AND OPEN MRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAKESH PAHWA (CHAIRMAN CEO)
(480) 706-1096
Entity
Organization
Contact information
Practice address
1150 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001-3200
(928) 773-7278
(480) 889-3501
Mailing address
2653 W GUADALUPE RD, SUITE 201, MESA, AZ 85202-7200
(480) 889-3500
(480) 889-3501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470001313
RAILROAD MEDICARE
AZ
01
—
AZ0830070
BLUE CROSS BLUE SHIELD
AZ
05
—
PENDING ASSIGNMENT
—
AZ
Enumeration date
05/03/2006
Last updated
10/04/2007
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