Dr. Pardeep Athwal, MD
Radiology, Diagnostic Radiology in San Andreas, California
1659697092- Practice location
- 768 Mountain Ranch RD, San Andreas, CA 95249-9707
- Phone
- 209-754-2573
- Fax
- —
- Last updated
- November 6, 2018
Pardeep Athwal is a Radiology, Diagnostic Radiology based in San Andreas, CA. 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. 144278 (CA). The current practice location address for Pardeep Athwal is 768 Mountain Ranch RD, San Andreas, CA 95249-9707 and can be reached out via phone at 209-754-2573.
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 95249-9707
- Phone Number
- 209-754-2573
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 9, 2010
- Last Update Date
- November 6, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 768 Mountain Ranch RD
San Andreas, CA 95249-9707 - City
- San Andreas
- State
- California
- Zip
- 95249-9707
- Phone Number
- 209-754-2573
Provider Business Mailing Address Details
- Address
- 450 Glass Ln Ste C
Modesto, CA 95356-9287 - City
- Modesto
- State
- CA
- Zip
- 95356-9287
- Phone Number
- 209-342-2300
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 144278
- License State (2)
- CA
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Radiology, Diagnostic Radiology providers near San Andreas, CA
View all Radiology, Diagnostic Radiology providers in San Andreas →Frequently Asked Questions
What is the NPI number of Dr. Pardeep Athwal, MD?
The NPI number of Dr. Pardeep Athwal, MD is 1659697092. It was assigned on April 9, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Pardeep Athwal, MD?
Dr. Pardeep Athwal, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in CA under license number 144278.
Where does Dr. Pardeep Athwal, MD practice?
The practice location is 768 Mountain Ranch RD, San Andreas, CA 95249-9707. The office can be reached at 209-754-2573 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659697092 directly on the NPPES registry website.