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Champak M Dedhia

Male

Medical Specialty

Diagnostic Radiology

Professional ID

NPI: 1134113798
PECOS ID: 1052462363
Enrollment ID: I20090626000397
Credential(MD, DO, DPM):
Medical School:
Medical School Graduation Year: 1973

Hospital Service

Hospital CCN1: 390237
Business Name (LBN)1: Regional Hospital Of Scranton
Hospital CCN2: 390192
Business Name (LBN)2: Tyler Memorial Hospital
Hospital CCN3: 390119
Business Name (LBN)3: Moses Taylor Hospital
Hospital CCN4: 390001
Business Name (LBN)4: Geisinger - Community Medical Center
Hospital CCN5: 390137
Business Name (LBN)5: Wilkes-barre General Hospital

Medical Practices

Organization Name: Radiology Affiliates Of Central New Jersey, Pc
Group Practice ID assigned by PECOS: 1759277239
Number of Group Practice member: 56

Location

Address1: 700 Quincy Ave
Address2:
City: Scranton
State: Pennsylvania
Zip Code: 18510
Phone Number: (570)770-7300

Medical Practices

Organization Name: Vascular Diagnostic Center Pc
Group Practice ID assigned by PECOS: 5193626232
Number of Group Practice member: 16

Location

Address1: 746 Jefferson Ave
Address2:
City: Scranton
State: Pennsylvania
Zip Code: 18510
Phone Number: (570)340-5440

Medical Practices

Organization Name: Radiological Consultants Inc
Group Practice ID assigned by PECOS: 9739171257
Number of Group Practice member: 23

Location

Address1: 1000 Meade St
Address2: Suite 100
City: Dunmore
State: Pennsylvania
Zip Code: 18512
Phone Number: (570)504-2500

Location

Address1: 150 Brooklyn St
Address2:
City: Carbondale
State: Pennsylvania
Zip Code: 18407
Phone Number: (570)281-1351

Location

Address1: 5950 Sr
Address2: Suite 6
City: Tunkhannock
State: Pennsylvania
Zip Code: 18657
Phone Number: (570)996-1123

Location

Address1: 700 Quincy Ave
Address2:
City: Scranton
State: Pennsylvania
Zip Code: 18510
Phone Number: (570)770-5000

Location

Address1: 746 Jefferson Ave
Address2:
City: Scranton
State: Pennsylvania
Zip Code: 18510
Phone Number: (570)836-2161

Location

Address1: 880 Sr
Address2: 6w
City: Tunkhannock
State: Pennsylvania
Zip Code: 18657
Phone Number: (570)836-2161

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
Used Electronic health record (EHR):