MEDICARE: CHARTER RADIOLOGY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1801641014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARTER RADIOLOGY, LLC

Provider Business Mailing Address
First Line	:	10 LITTLE BROOK RD
Second Line	:
City	:	WEST WAREHAM
State	:	MA
Zip	:	02576-1222
Country	:	US
Telephone Number	:	508-273-1250
Fax Number	:

Provider Business Practice Location Address
First Line	:	5005 SIGNAL BELL LN STE 102
Second Line	:
City	:	CLARKSVILLE
State	:	MD
Zip	:	21029-2607
Country	:	US
Telephone Number	:	443-917-2855
Fax Number	:	410-346-5775

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARVINDER UPPAL
Credential	:	MD
Telephone Number	:	443-917-2855

Provider Enumeration Date	:	04/22/2024
Last Update Date	:	04/22/2024

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Directions to “CHARTER RADIOLOGY, LLC ” Practice Location

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