Prairie Creek Radiology,Inc in Indianapolis - Diagnostic Radiology

Prairie Creek Radiology,Inc - NPI 1265572838

Prairie Creek Radiology,Inc is a Diagnostic Radiology in Indianapolis, Indiana. Prairie Creek Radiology,Inc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Prairie Creek Radiology,Inc is 1265572838. The last update date is 2008-04-09.

Prairie Creek Radiology,Inc's current location address is Po Box 2125, Indianapolis, Indiana. You can contact this provider via phone number 8122348261 and fax number 8122348262. The mailing address for Prairie Creek Radiology,Inc is Po Box 2125, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Prairie Creek Radiology,Inc
Address Po Box 2125, Indianapolis, Indiana
Phone Number 8122348261
Fax Number 8122348262
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Mercho E Farouk
Credentials MD
Telephone Number 8122344642

NPI Number Detail

NPI Number 1265572838
Provider Enumeration Date 2007-02-06
Last Updated Date 2008-04-09

Provider Mailing Address Detail

Address Po Box 2125
City Indianapolis
State Indiana (IN)
Post Code 462062125
Phone Number 8122348261
Fax Number 8122348262

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 01031856A
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
242179 IN BLUE CROSS/BLUE SHIELD

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FAQs about Prairie Creek Radiology,Inc

What is the unique identifier code issued to Prairie Creek Radiology,Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Prairie Creek Radiology,Inc has been assigned the NPI (National Provider Identifier) 1265572838. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Prairie Creek Radiology,Inc is located?

The Prairie Creek Radiology,Inc is situated at the following address: Po Box 2125, Indianapolis, IN, 462062125.

What is Prairie Creek Radiology,Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Prairie Creek Radiology,Inc is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services issue the 1265572838 to Prairie Creek Radiology,Inc?

The Prairie Creek Radiology,Inc received its 1265572838 assignment from the Centers for Medicare & Medicaid Services on 2007-02-06.

As of what date were the Prairie Creek Radiology,Inc's details last updated?

The information pertaining to the Prairie Creek Radiology,Inc, including its address, specialty, and other details, was most recently updated on 2008-04-09.

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