| NPI | 1568497113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL CHIKVASHVILI President/CEO 410-363-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD 000674) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD 000674) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD 000674) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD 000674) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: MD 000674) | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: MD 000674) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-04-10 |