Healthcare Provider Details

I. General information

NPI: 1639626138
Provider Name (Legal Business Name): AKASH H ADHIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 11/02/2026
Certification Date: 11/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 MCHENRY AVE STE 100
MODESTO CA
95350-4566
US

IV. Provider business mailing address

1524 MCHENRY AVE STE 100
MODESTO CA
95350-4566
US

V. Phone/Fax

Practice location:
  • Phone: 209-577-4444
  • Fax:
Mailing address:
  • Phone: 209-577-4444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA207126
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: