KENNEWICK RADIOLOGY GROUP, PC – NPI #1124592480
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

KENNEWICK RADIOLOGY GROUP, PC is a radiologist located in KENNEWICK, WA. NPPES has assigned the NPI number 1124592480 to KENNEWICK RADIOLOGY GROUP, PC on January 18, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 5 years ago on Jul 27, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNEWICK RADIOLOGY GROUP, PC below.

NPI Profile for
KENNEWICK RADIOLOGY GROUP, PC

NPI Number
1124592480
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KENNEWICK RADIOLOGY GROUP, PC
Primary location
3810 PLAZA WAY
KENNEWICK, WA 99338-2722
Phone: (509) 585-5532 Fax:
Mailing address
PO BOX 6800
PORTLAND, OR 97228-6800
Phone: Fax:
Organization Subpart
No
Authorized Official
SANDIP PATIDAR
OWNER
Phone: (509) 392-5037
Updated
Certification Date
Jul 27, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.