Healthcare Provider Details

I. General information

NPI: 1275094203
Provider Name (Legal Business Name): WOMEN'S IMAGING INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2019
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8397 W OAKLAND PARK BLVD
SUNRISE FL
33351-7307
US

IV. Provider business mailing address

8397 W OAKLAND PARK BLVD
SUNRISE FL
33351-7307
US

V. Phone/Fax

Practice location:
  • Phone: 954-998-1887
  • Fax: 954-440-0902
Mailing address:
  • Phone: 954-998-1887
  • Fax: 954-440-0902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: PRIYANKA GROVER
Title or Position: MEDICAL DOCTOR/MANAGER
Credential: M.D.
Phone: 954-998-1887