Missouri Delta Radiology Group, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MISSOURI DELTA RADIOLOGY GROUP, INC.

Practice address

1008 N Main St
Sikeston, MO 63801-5044

Phone

(573) 472-7342

Fax

(573) 472-3242

NPI assigned

Dec 22, 2006

Last updated

Oct 22, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mahmoud Ziaee, MD

Title

President

Phone

(573) 472-7342

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vishon J Subramani, M.D.

  • Internal Medicine Physician
  • Sikeston, MO
  • NPI 1598853368
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1205991072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638010781",
            "telephone_number": "314-821-8055",
            "fax_number": "314-821-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015044",
            "telephone_number": "573-472-7342",
            "fax_number": "573-472-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI DELTA RADIOLOGY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "ZIAEE",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-472-7342",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missouri Delta Medical Center
• Missouri Delta Medical Center
• Missouri Delta Medical Center (Missouri Delta Express Care)
• Missouri Delta Medical Center
• Missouri Delta Medical Center
• Angeles Fernandez Mojica, PT
• Paul F. Montany, MD
• Caitlyn Marie Moore, MCD, CF-SLP
• Lindsay Moore, PLPC
• Tina L. Moore, APRN, BC-FNP

• Diagnostic Radiology Physician in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.