| Molecular Imaging Technologies | |
|
7812 Gateway Blvd E Ste 120b El Paso TX 79915-1803 | |
| (915) 577-0100 | |
| (915) 400-0427 |
| Full Name | Molecular Imaging Technologies |
|---|---|
| Speciality | Clinic/Center |
| Location | 7812 Gateway Blvd E Ste 120b, El Paso, Texas |
| Authorized Official Name and Position | Leroy Candelaria (PRESIDENT) |
| Authorized Official Contact | 9155770100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Molecular Imaging Technologies 7812 Gateway Blvd E Ste 120b El Paso TX 79915-1803 Ph: (915) 577-0100 | Molecular Imaging Technologies 7812 Gateway Blvd E Ste 120b El Paso TX 79915-1803 Ph: (915) 577-0100 |
| NPI Number | 1922504588 |
|---|---|
| Provider Enumeration Date | 04/03/2018 |
| Last Update Date | 02/22/2024 |
| Medicare PECOS PAC ID | 6507296852 |
|---|---|
| Medicare Enrollment ID | O20200429000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922504588 | NPI | - | NPPES |
| 1B0565 | Other | TX | MEDICARE |
| 123456 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Hugo E Isuani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740256635 PECOS PAC ID: 3678564622 Enrollment ID: I20040519001330 |
| Provider Name | Umesh Oza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093768053 PECOS PAC ID: 9234113861 Enrollment ID: I20050908001179 |
| Provider Name | Kristin L Joyner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609925098 PECOS PAC ID: 4284734633 Enrollment ID: I20070713000433 |
| Provider Name | Scott C Adams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336359132 PECOS PAC ID: 0345390225 Enrollment ID: I20090616000099 |
| Provider Name | Tariq Sibghat Siddiqui |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487879300 PECOS PAC ID: 0648332486 Enrollment ID: I20090923000346 |
| Provider Name | Nassim Akle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740519321 PECOS PAC ID: 7214103308 Enrollment ID: I20111220000211 |
| Provider Name | Sara Swineford Mcfadden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992029490 PECOS PAC ID: 7214235092 Enrollment ID: I20160519002145 |
| Provider Name | Jessica Page |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023437175 PECOS PAC ID: 3072737980 Enrollment ID: I20200108001871 |
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