Organization
KENNEWICK RADIOLOGY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDIP PATIDAR MD (OWNER)
(559) 455-4009
Entity
Organization
Contact information
Practice address
215 TIBURON CT, WALNUT CREEK, CA 94597-3437
(559) 455-4009
Mailing address
PO BOX 4030, PASCO, WA 99302-4030
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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