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MISSOURI DELTA RADIOLOGY GROUP INC. NPI 1205991072


NPI Information

NPI: 1205991072
Provider Name: MISSOURI DELTA RADIOLOGY GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1008 N MAIN ST
SIKESTON, MO
ZIP 63801
Phone: (573) 472-7342
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MISSOURI DELTA RADIOLOGY GROUP, INC. is a diagnostic radiology radiology in Sikeston, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MISSOURI DELTA RADIOLOGY GROUP, INC. NPI is 1205991072. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1008 N MAIN ST
SIKESTON, MO
ZIP 63801-044
Phone: (573) 472-7342
Fax: (573) 472-3242

The provider's authorized official is Mahmoud Ziaee .
The authorized official title is President and has the following contact phone number (573) 472-7342.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 10/22/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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