ARVIN PENACERRADA NPI 1477174993

NPI Information

NPI: 1477174993
Provider Name: ARVIN PENACERRADA
Classification: Radiology - 2085U0001X
Entity Type: Individual

Specialization: Diagnostic Ultrasound

Address:
111 VISION PARK BLVD STE 250
SHENANDOAH, TX
ZIP 77384
Phone: (469) 909-2511
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Arvin Penacerrada is a diagnostic ultrasound radiology in Shenandoah, TX. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. Arvin Penacerrada NPI is 1477174993. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 VISION PARK BLVD STE 250
SHENANDOAH, TX
ZIP 77384-004
Phone: (469) 909-2511

The enumeration date for this NPI number is 5/6/2020 and was last updated on 5/6/2020.

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
1	2085U0001X	Radiology	Diagnostic Ultrasound	170495	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	170495	OTHER		ARDMS

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

NPI Synchronization or Removal

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