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Jerry I Nam, MD
Neuroradiology Physician in Riverside, California
NPI 1972565000

Jerry I Nam is a Neuroradiology Physician based in Riverside, CA and is specialized in Neuroradiology. Jerry I Nam practices in Riverside, CA and has the professional credentials of MD. The NPI Number for Jerry I Nam is 1972565000 and holds a License No. J6616 (California).

The current practice location address for Jerry I Nam is 4445 Magnolia Ave, Riverside, CA and can be reached out via phone at 951-788-3400 and via fax at 979-774-7871.

Location: 4445 Magnolia Ave, Riverside, CA, 92501-4135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972565000
Provider Name
Jerry I Nam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4445 Magnolia Ave, Riverside, CA, 92501-4135
Phone Number
951-788-3400
Fax Number
979-774-7871
Provider Enumeration Date
04/04/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
118679302 05 TX
institution
Provider Business Practice Location Address Details
Address
4445 Magnolia Ave
City
Riverside
State
California
Zip
92501-4135
Phone Number
951-788-3400
Fax Number
979-774-7871
person
Provider Business Mailing Address Details
Address
4445 Magnolia Ave
City
Riverside
State
California
Zip
92501-4135
Phone Number
951-788-3400
Fax Number
979-774-7871
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
J6616 (Texas)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
J6616 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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