Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Pardeep Athwal, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659697092

Dr. Pardeep Athwal, MD is a Diagnostic Radiology in San Andreas, California. Qualified in 2010, 16 years ago. Practices with Radiologica Inc, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2010
Specialties on file
2
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

768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Phone: (209) 754-2573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 263 Farmington Ave, Farmington, CT 06030-0001 — (860) 679-7692

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 144278 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659697092
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2010
Last updated in NPPESNovember 6, 2018
Mailing address450 Glass Ln Ste C, Modesto, CA 95356-9287

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Radiologica Inc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

Other providers in San Andreas