Organization
NORTH BAY CARDIAC IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY CHAMANLAL DHAR MD (PRESIDENT)
(707) 636-5550
Entity
Organization
Contact information
Practice address
4740 HOEN AVE, SUITE B, SANTA ROSA, CA 95405-7824
(707) 636-5550
(707) 636-5553
Mailing address
4740 HOEN AVE, SUITE B, SANTA ROSA, CA 95405-7824
(707) 636-5550
(707) 636-5553
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ25421Z
PTAN
CA
Enumeration date
11/01/2006
Last updated
08/02/2011
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