Paradise Radiology LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

33506 Issued in AZ

Legal business name

PARADISE RADIOLOGY LLC

Practice address

13216 N Plaza del Rio Blvd
Peoria, AZ 85381-4907

Phone

(602) 570-5799

NPI assigned

Oct 29, 2010

Organization subpart

No

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

Authorized official

Name

Kamiar Massrour, M.D.

Title

Owner

Phone

(602) 570-5799

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1265732804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5212",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852615212",
            "telephone_number": "602-570-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13216 N PLAZA DEL RIO BLVD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814907",
            "telephone_number": "602-570-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "MASSROUR",
        "authorized_official_first_name": "KAMIAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-570-5799",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "33506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Panopio, PT, DPT
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• Michael Papenthien, PHARMD
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• Mackenzie Rae Parker, PT, DPT

• Vascular & Interventional Radiology Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Vascular & Interventional Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.