NPI 1659697092 · live from the CMS NPI Registry
Pardeep Athwal, M.D.
Radiology, Diagnostic Radiology in San Andreas, CA. National Provider Identifier 1659697092, active.
NPI record
| NPI | 1659697092 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 768 Mountain Ranch Rd, San Andreas, CA 95249 |
| Practice phone | 209-754-2573 |
| Mailing address | 450 Glass Ln Ste C, Modesto, CA 95356 |
| Enumerated | April 9, 2010 |
| Last updated | November 6, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 144278 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.