Provider Demographics
NPI:1962412007
Name:DIAGNOSTIC MEDICAL IMAGING PA
Entity type:Organization
Organization Name:DIAGNOSTIC MEDICAL IMAGING PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:K
Authorized Official - Last Name:NARANG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:301-754-7361
Mailing Address - Street 1:PO BOX 79470
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-0470
Mailing Address - Country:US
Mailing Address - Phone:866-953-5869
Mailing Address - Fax:
Practice Address - Street 1:1500 FOREST GLEN RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-754-7361
Practice Address - Fax:301-681-7609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD961131200Medicaid
DC020894200Medicaid
CA1230Medicare PIN
MD961131200Medicaid
FMX026Medicare PIN