Sandip A Patidar (NPI# 1063463784, PAC ID# 6406749035) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1063463784 |
| PAC ID by PECOS | 6406749035 |
| Professional Enrollment ID | I20051014000879 |
| Full Name | Sandip A Patidar |
| Organization Legal Name | KENNEWICK RADIOLOGY GROUP PC |
| Address |
3810 Plaza Way Kennewick WA 99338-2722 |
| Phone Number | 5095855532 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 1997 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9335230549 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500053 | TRIOS HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 3810 Plaza Way, Kennewick, WA 99338-2722 | 5095855532 | KENNEWICK RADIOLOGY GROUP PC |
| 900 S Auburn St, Kennewick, WA 99336-5621 | 5095865953 | KENNEWICK RADIOLOGY GROUP PC |
| Organization Legal Name | KENNEWICK RADIOLOGY GROUP PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erich Raymond Schoenman | Diagnostic Radiology | Kennewick Radiology Group PC | 435 Opihikao Pl, Honolulu, HI 96825-1128 |
| Vishal Verma | Diagnostic Radiology | Kennewick Radiology Group PC | 5004 Del Mar Mesa Rd, San Diego, CA 92130-6809 |
| Andersen I Grigg | Interventional Radiology | Kennewick Radiology Group PC | 900 S Auburn St, Kennewick, WA 99336-5621 |
| Bethany Ann Eubanks | Diagnostic Radiology | Kennewick Radiology Group PC | 900 S Auburn St, Kennewick, WA 99336-5621 |
| Sreenath P Narayan | Diagnostic Radiology | Kennewick Radiology Group PC | 900 S Auburn St, Kennewick, WA 99336-5621 |
| Alan K Ford | Diagnostic Radiology | Kennewick Radiology Group PC | 900 S Auburn St, Kennewick, WA 99336-5621 |
| Street Address |
3810 PLAZA WAY |
| City | KENNEWICK |
| State | WA |
| Zip | 99338-2722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brooks Watson | Hospitalist | Rcch Trios Health LLC | 3810 Plaza Way, Kennewick, WA 99338-2722 |
| Muthulakshmi Ramesh | Internal Medicine | Rcch Trios Health LLC | 3810 Plaza Way, Kennewick, WA 99338-2722 |
| Linda J Cornwell | Nurse Practitioner | Columbia Valley Emergency Physicians LLC | 3810 Plaza Way, Kennewick, WA 99338-2722 |
| Jeffrey J Mcdannel | Internal Medicine | Rcch Trios Health LLC | 3810 Plaza Way, Kennewick, WA 99338-2722 |
| Edward W Salko Jr. | Emergency Medicine | Columbia Valley Emergency Physicians LLC | 3810 Plaza Way, Kennewick, WA 99338-2722 |
| Luzcel G Tuazon | Internal Medicine | Rcch Trios Health LLC | 3810 Plaza Way, Kennewick, WA 99338-2722 |
| Douglas E Coon | Emergency Medicine | Columbia Valley Emergency Physicians LLC | 3810 Plaza Way, Kennewick, WA 99338-2722 |
| Ernest O Kanu | Internal Medicine | Rcch Trios Health LLC | 3810 Plaza Way, Kennewick, WA 99338-2722 |
| Dale Hoekema | Critical Care (intensivists) | Rcch Trios Health LLC | 3810 Plaza Way, Kennewick, WA 99338-2722 |
| Toby James Bowers | Emergency Medicine | Columbia Valley Emergency Physicians LLC | 3810 Plaza Way, Kennewick, WA 99338-2722 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha J Price | Podiatry | 3730 Plaza Way Fl, Suite 6, Kennewick, WA 99338-0128 | |
| Brandon P Campbell | Chiropractic | 4303 W 27th Ave E, Kennewick, WA 99338-1986 | |
| Karl B Czirr | Optometry | 2459 S Union St, Suite 120, Kennewick, WA 99338-2271 | |
| Maria Aleli T Ello | Family Medicine | Rcch Trios Health LLC | 3730 Plaza Way, Kennewick, WA 99338-2718 |
| Travis S Carter | Podiatry | 3730 Plaza Way, Suite 6500, Kennewick, WA 99338-2718 | |
| Jennifer L Smith | Internal Medicine | Rcch Trios Health LLC | 3730 Plaza Way, Kennewick, WA 99338-2718 |
| Arthur M Cain | Family Medicine | Rcch Trios Health LLC | 3730 Plaza Way, Kennewick, WA 99338-2718 |
| Amer Khouri | Hematology/oncology | Rcch Trios Health LLC | 3730 Plaza Way, Kennewick, WA 99338-2718 |
| Frank E Cole | Internal Medicine | 3730 Plaza Way, Suite 6300, Kennewick, WA 99338-2718 | |
| Ernesto G Dizon Jr. | General Surgery | Rcch Trios Health LLC | 3730 Plaza Way, Kennewick, WA 99338-2718 |
| Find all physicians in zip 99338 | |||
| City | KENNEWICK |
| Zip Code | 99338 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | KENNEWICK + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Sandip A Patidar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.