Provider Demographics
NPI:1326819145
Name:MERIT RADIOLOGY PLLC
Entity Type:Organization
Organization Name:MERIT RADIOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:MYDUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-613-8388
Mailing Address - Street 1:3900 TELEPORT BLVD UNIT 140369
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75014-0044
Mailing Address - Country:US
Mailing Address - Phone:915-613-8388
Mailing Address - Fax:
Practice Address - Street 1:4741 HARLOW BEND DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-5201
Practice Address - Country:US
Practice Address - Phone:915-613-8388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty