Provider Demographics
NPI:1326364506
Name:NIGHTOWL RADIOLOGY P.C.
Entity Type:Organization
Organization Name:NIGHTOWL RADIOLOGY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIKRAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:HATTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-245-7814
Mailing Address - Street 1:2190 W SNEAD ST
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-9505
Mailing Address - Country:US
Mailing Address - Phone:562-245-7814
Mailing Address - Fax:
Practice Address - Street 1:2190 W SNEAD ST
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-9505
Practice Address - Country:US
Practice Address - Phone:562-245-7814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA927122085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty