Dr. Ingo O Rencken, MD

Individual provider Diagnostic Radiology Physician · NPI 1265456776

Dr. Ingo O Rencken, MD is a Diagnostic Radiology in Sebastopol, California. Qualified in 1984, 42 years ago. Practices with Modesto Radiological Medical Group Inc, a 97-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying: 42
Licensed in: CA
In the registry since: 2006

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.

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Practice location Address checks out

501 Petaluma Ave
Sebastopol, CA 95472-4215
Phone: (707) 829-4360
Fax: (707) 829-4013

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary)	Taxonomy 2085R0202X · Licence A56477 (CA)

Record details

NPI number	1265456776
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD
Sole proprietor	No
NPI enumerated	July 27, 2006
Last updated in NPPES	April 3, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	DIAGNOSTIC RADIOLOGY
Medical school	OTHER
Graduated	1984 (42 years in practice)
Group practice	Modesto Radiological Medical Group Inc — 97 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount