Brendan Bottari in Santa Rosa - Diagnostic Radiology
Brendan Bottari - NPI 1174611107
Brendan Bottari is a Diagnostic Radiology in Santa Rosa, California. Brendan Bottari practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Brendan Bottari is 1174611107. The last update date is 2007-07-09.
Brendan Bottari's current location address is 121 Sotoyome St, Santa Rosa, California. You can contact this provider via phone number 7075464062 and fax number 7075786258. The mailing address for Brendan Bottari is 121 Sotoyome St, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brendan Bottari |
|---|---|
| Address | 121 Sotoyome St, Santa Rosa, California |
| Phone Number | 7075464062 |
| Fax Number | 7075786258 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174611107 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 121 Sotoyome St |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954054823 |
| Phone Number | 7075464062 |
| Fax Number | 7075786258 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | A81922 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A891220 | CA | -- |
Post Comment/ Review Below
What is the Brendan Bottari's 1174611107?
The Brendan Bottari's NPI (National Provider Identifier) Number is 1174611107. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Brendan Bottari's physical address?
The Brendan Bottari is physically located at 121 Sotoyome St, in the city of Santa Rosa, CA, with the postal code 954054823.
What is the Brendan Bottari's specialty and taxonomy code?
The Brendan Bottari's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174611107 to Brendan Bottari?
The Brendan Bottari received its 1174611107 assignment from the Centers for Medicare & Medicaid Services on 2006-10-11.
As of what date were the Brendan Bottari's details last updated?
The information pertaining to the Brendan Bottari, including its address, specialty, and other details, was most recently updated on 2007-07-09.