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Dr. Pardeep Athwal, MD
Diagnostic Radiology Physician in San Andreas, California
NPI 1659697092

Pardeep Athwal is a Diagnostic Radiology Physician based in Modesto, CA and is specialized in Diagnostic Radiology. Pardeep Athwal practices in San Andreas, CA and has the professional credentials of MD. The NPI Number for Pardeep Athwal is 1659697092 and holds a License No. (California).

The current practice location address for Pardeep Athwal is 768 Mountain Ranch Rd, San Andreas, CA and can be reached out via phone at 209-754-2573.

Location: 768 Mountain Ranch Rd, San Andreas, CA, 95356-9287
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659697092
Provider Name
Pardeep Athwal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
768 Mountain Ranch Rd, San Andreas, CA, 95356-9287
Phone Number
209-754-2573
Fax Number
Provider Enumeration Date
04/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
768 Mountain Ranch Rd
City
San Andreas
State
California
Zip
95249-9707
Phone Number
209-754-2573
Fax Number
person
Provider Business Mailing Address Details
Address
768 Mountain Ranch Rd
City
San Andreas
State
California
Zip
95249-9707
Phone Number
209-754-2573
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
144278 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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