Provider Demographics
NPI:1942882154
Name:RAD & MORE LLC
Entity Type:Organization
Organization Name:RAD & MORE LLC
Other - Org Name:DR K MED SPA/LARGO CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-857-0370
Mailing Address - Street 1:10500 ULMERTON RD STE 360
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-3504
Mailing Address - Country:US
Mailing Address - Phone:901-857-0370
Mailing Address - Fax:
Practice Address - Street 1:10500 ULMERTON RD STE 360
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-3504
Practice Address - Country:US
Practice Address - Phone:901-857-0370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-27
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty