Provider Demographics
NPI:1447026216
Name:COLUMBIA INTERVENTIONAL RADIOLOGY CONSULTING INC PS
Entity type:Organization
Organization Name:COLUMBIA INTERVENTIONAL RADIOLOGY CONSULTING INC PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAVANAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KASTHURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-588-7613
Mailing Address - Street 1:1341 SPAULDING AVE
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4708
Mailing Address - Country:US
Mailing Address - Phone:509-588-7613
Mailing Address - Fax:509-588-7611
Practice Address - Street 1:1341 SPAULDING AVE
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4708
Practice Address - Country:US
Practice Address - Phone:509-588-7613
Practice Address - Fax:509-588-7611
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLUMBIA INTERVENTIONAL RADIOLOGY CONSULTING, INC., PS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical