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Contact Information

MITCHELLVILLE RADIOLOGY
1100 MERCANTILE LN
SUITE 150
LARGO, MD20774-5380
 Phone: 301-249-0022
 Fax: 301-249-7640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Nuclear Radiology

2085N0904X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for MITCHELLVILLE RADIOLOGY · (Female)

NPI # 1669696654
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2007
Last updated 10/15/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • DC Other 7926 BCBS-DC GROUP #
  • MD Other H800DI BCBS-MD GROUP #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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