Provider Demographics
NPI:1952858912
Name:NEW TECHNOLOGY MEDICAL ARTS LLC
Entity Type:Organization
Organization Name:NEW TECHNOLOGY MEDICAL ARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-745-3112
Mailing Address - Street 1:1208 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-3502
Mailing Address - Country:US
Mailing Address - Phone:707-745-3112
Mailing Address - Fax:707-745-6822
Practice Address - Street 1:1208 E 5TH ST
Practice Address - Street 2:
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-3502
Practice Address - Country:US
Practice Address - Phone:707-745-3112
Practice Address - Fax:707-745-6822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA446092085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty