Organization
RADIOLOGY ASSOCIATES OF ST. PETERSBURG PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW RAHAIM (PRESIDENT)
(727) 825-1040
Entity
Organization
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 825-1100
(727) 827-5155
Mailing address
PO BOX 919379, ORLANDO, FL 32891-9379
(844) 453-1406
(772) 621-3180
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042
BCBS
FL
05
—
061055100
—
FL
01
—
CM6717
RR MEDICARE
—
Enumeration date
07/29/2006
Last updated
08/03/2021
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