| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Radiology |
| DEFINITION | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| AREA OF SPECIALIZATION | Vascular & Interventional Radiology |
| STATUS | Active |
| VA CODE | V183010 |
| X12 CODE | 2085R0204X |
| SPECIALTY CODE | 94 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5252081 |
| EFFECTIVE DATE/TIME |
|