| NPI | 1083621981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APPARAO MUKKAMALA President 810-424-4761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MI 4301042515) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301034123) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301031588) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301057046) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301034675) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301037709) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301046932) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301406912) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 4301037112) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |