MEDICARE: UNIVERSAL RADIOLOGY PARTNERS OF NEVADA 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	2085R0204X	Vascular & Interventional Radiology Physician
2	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1588467948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL RADIOLOGY PARTNERS OF NEVADA LLC

Provider Business Mailing Address
First Line	:	2326 S CONGRESS AVE STE 2D
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-7614
Country	:	US
Telephone Number	:	469-731-4003
Fax Number	:

Provider Business Practice Location Address
First Line	:	1041 STEAMBOAT PKWY
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89521-6238
Country	:	US
Telephone Number	:	775-567-6900
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DANIELA GHIRAGOSSIAN
Credential	:
Telephone Number	:	561-268-6509

Provider Enumeration Date	:	03/31/2025
Last Update Date	:	01/13/2026

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