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NPI Code Detail

MEDICARE: RADIOLOGIC ASSOCIATES OF FREDERICKSBURG LTD

MEDICARE: RADIOLOGIC ASSOCIATES OF FREDERICKSBURG LTD
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
1261QR0200XRadiology Clinic/Center
22085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1=========OTHERVACIGNA
23171OTHERVACAREFIRST
3015792OTHERVAANTHEM
4=========OTHERVAUNITED HEALTHCARE
5=========OTHERVAFIRST HEALTH
6=========OTHERVATRICARE
7=========OTHERVAVIRGINIA HEALTH NETWORK

General Provider Information

NPI Number : 1699711093
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADIOLOGIC ASSOCIATES OF FREDERICKSBURG LTD
Provider Business Mailing Address
First Line : PO BOX 825855
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19182-5855
Country : US
Telephone Number : 540-361-1000
Fax Number : 540-361-7010
Provider Business Practice Location Address
First Line : 1001 SAM PERRY BLVD
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-4453
Country : US
Telephone Number : 540-741-1571
Fax Number : 540-361-7010
Authorized Official
Title or Position : PRESIDENT
Name : RONI TALUKDAR
Credential : MD
Telephone Number : 540-361-1000
Provider Enumeration Date : 06/22/2006
Last Update Date : 01/27/2026

Similar Medicare Providers

1699625764 — SAVANNAH LUTTRELL
Practice Location Address:
1001 SAM PERRY BLVD
FREDERICKSBURG, VA
22401-4453
Practice Phone: 540-741-1100
Practice Fax:
1134361975 — CINDY MARIE GREENWOOD NP-C
Practice Location Address:
1001 SAM PERRY BLVD
FREDERICKSBURG, VA
22401-4453
Practice Phone: 540-361-1000
Practice Fax: 540-361-7010
1295999852 — MARY WASHINGTON HEALTHCARE PHYSICIANS
Practice Location Address:
1001 SAM PERRY BLVD
FREDERICKSBURG, VA
22401-4453
Practice Phone: 540-741-1100
Practice Fax:
1730185398 — TORREY HAWLEY CRNA
Practice Location Address:
1001 SAM PERRY BLVD
FREDERICKSBURG, VA
22401-4453
Practice Phone: 540-741-1100
Practice Fax:
1629077193 — MR. JOHN P HENRY CRNA
Practice Location Address:
1001 SAM PERRY BLVD
FREDERICKSBURG, VA
22401-4453
Practice Phone: 540-741-7614
Practice Fax:
1265431571 — MR. CLINT R VOGEL CRNA
Practice Location Address:
1001 SAM PERRY BLVD
FREDERICKSBURG, VA
22401-4453
Practice Phone: 540-741-7614
Practice Fax: 540-741-7615

Directions to “RADIOLOGIC ASSOCIATES OF FREDERICKSBURG LTD ” Practice Location

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