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General NPI Number Information
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NPI Number | 1710142401
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Entity Type | Organization
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Legal Business Name | SAN REMO BREAST AND MRI CENTER PLLC
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 1545 SAN REMO AVE
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City | CORAL GABLES
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State | FL
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Zip | 33146-3008
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Country | US
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Telephone | 305-403-4930
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Fax | 305-403-4940
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Provider Business Mailing Address
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Address Line | 15601 DALLAS PKWY STE 300
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City | ADDISON
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State | TX
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Zip | 75001-6012
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Country | US
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Telephone | 469-398-4167
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Fax | 469-609-0283
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHIRAG PARGHI
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Credential | MD
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Telephone | 833-979-2086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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