| NPI | 1245299494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMAKRISHNAYYA GADAM President 989-753-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging |
| 2085N0700X Radiology Neuroradiology | |
| 2085N0904X Radiology Nuclear Radiology | |
| 2085P0229X Radiology Pediatric Radiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| 363A00000X Physician Assistant (Licence: MI 5601004459) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2015-01-09 |