Organization
DIAGNOSTIC RADIOLOGY INC
Active
Organization
DIAGNOSTIC RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BELANJE SUDHAKARA HEGDE MD (PRESIDENT)
(850) 893-8920
Entity
Organization
Contact information
Practice address
7776 EVENING STAR LANE, TALLAHASSEE, FL 32312-3555
(850) 545-1221
(850) 893-0144
Mailing address
7776 EVENING STAR LANE, TALLAHASSEE, FL 32312-3555
(850) 893-8920
(850) 893-0144
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
019952
GA
2085R0202X
Diagnostic Radiology Physician
Primary
23629
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308539500
—
FL
Enumeration date
08/30/2006
Last updated
06/16/2008
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