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Contact Information

SHADY GROVE RADIOLOGICAL CONSULTANTS PA
20410 OBSERVATION DR
SUITE 104
GERMANTOWN, MD20876-4000
 Phone: 301-948-5700
 Fax: 301-212-4277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
 

Neuroradiology

2085N0700X
 

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
 

Nuclear Radiology

2085N0904X
 

Pediatric Radiology

2085P0229X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for SHADY GROVE RADIOLOGICAL CONSULTANTS PA

NPI Number 1639122039
LBN Legal business name SHADY GROVE RADIOLOGICAL CONSULTANTS PA
Authorized official LARRY BUSCHING - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2006
Last updated 08/25/2009 - About 17 years ago
Identifiers
MD Medicaid 979151500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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