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NPI Code Detail

MEDICARE: EXCEL MEDICAL IMAGING PL

MEDICARE: EXCEL MEDICAL IMAGING PL
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
12085R0202XDiagnostic Radiology PhysicianFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700884244
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXCEL MEDICAL IMAGING PL
Provider Business Mailing Address
First Line : 5626 GULF DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-4020
Country : US
Telephone Number : 727-841-8212
Fax Number : 727-841-9589
Provider Business Practice Location Address
First Line : 5626 GULF DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-4020
Country : US
Telephone Number : 727-841-8212
Fax Number : 727-841-9589
Authorized Official
Title or Position : OWNER/CEO
Name : DEEPAK DAS
Credential : MD
Telephone Number : 727-841-8212
Provider Enumeration Date : 07/08/2005
Last Update Date : 07/21/2022

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Directions to “EXCEL MEDICAL IMAGING PL ” Practice Location

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