Vidisha Ghole
Radiology, Body Imaging in Dallas, TX. Individual provider (NPI-1).
NPI number1447344809
StatusActive
Last updated in NPPESJul 22, 2016
Details
- NPI
- 1447344809
- Entity type
- Individual (NPI-1)
- Name
- Vidisha Ghole
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2006
- Last updated
- Jul 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085B0100X | Radiology, Body Imaging | 054566 | GA | Yes |
Practice location
4500 S Lancaster RdDallas, TX 75216-7167
Phone 214-857-0185 · Fax 214-857-0173
Mailing address
4500 S Lancaster RdDallas, TX 75216-7167
Phone 214-857-0185
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