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General NPI Number Information
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NPI Number | 1578516829
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Entity Type | Organization
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Legal Business Name | RADIOLOGY MEDICAL GROUP INC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 4077 5TH AVE
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City | SAN DIEGO
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State | CA
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Zip | 92103-2105
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Country | US
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Telephone | 619-294-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 W OLYMPIC BLVD FILE 1315
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City | PASADENA
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State | CA
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Zip | 91199-1315
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SHARJEEL H SABIR
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Credential | DO
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Telephone | 858-658-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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