NPI | 1154338051 |
---|---|
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 |