Jose E Picaza in Johnson City - Diagnostic Radiology

Jose E Picaza - NPI 1154360907

Jose E Picaza is a Diagnostic Radiology in Johnson City, Tennessee. Jose E Picaza practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jose E Picaza is 1154360907. The last update date is 2007-07-08.

Jose E Picaza's current location address is 1301 Sunset Dr, Johnson City, Tennessee. You can contact this provider via phone number 4239264966 and fax number 4239261823. The mailing address for Jose E Picaza is 1301 Sunset Dr, Johnson City, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Jose E Picaza
Address 1301 Sunset Dr, Johnson City, Tennessee
Phone Number 4239264966
Fax Number 4239261823
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1154360907
Provider Enumeration Date 2006-06-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1301 Sunset Dr
City Johnson City
State Tennessee (TN)
Post Code 376047906
Phone Number 4239264966
Fax Number 4239261823

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 19552
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
7217366 VA VIRGINIA
790520F NC NORTH CAROLINA MEDICAID
3042984 TN BCBS
3043156 TN --
64925662 KY KENTUCKY MEDICAID

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FAQs about Jose E Picaza

What is the unique identification code assigned to Jose E Picaza by the Centers for Medicare & Medicaid Services?

The Jose E Picaza has been issued the NPI (National Provider Identifier) 1154360907. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jose E Picaza is physically located?

The Jose E Picaza is physically situated at the following address: 1301 Sunset Dr, Johnson City, TN, 376047906.

What is Jose E Picaza's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jose E Picaza is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.

When did Jose E Picaza receive its 1154360907 assignment?

The Jose E Picaza was assigned its 1154360907 on 2006-06-06, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Jose E Picaza most recently updated or revised?

The details related to Jose E Picaza, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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