NORTHLAND RADIOLOGY INC NPI 1386804060

NPI Information

NPI: 1386804060
Provider Name: NORTHLAND RADIOLOGY INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
20905 GREENFIELD RD
SUITE 105
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 569-0296
Get Directions

NORTHLAND RADIOLOGY INC is a diagnostic radiology radiology in Southfield, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NORTHLAND RADIOLOGY INC NPI is 1386804060. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20905 GREENFIELD RD
SUITE 105
SOUTHFIELD, MI
ZIP 48075-344
Phone: (248) 569-0296
Fax: (248) 569-3390

The provider's authorized official is Prakash B Gandhi .
The authorized official title is Administrator and has the following contact phone number (284) 827-7200.

The enumeration date for this NPI number is 6/16/2008 and was last updated on 11/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	No
3	207U00000X	Nuclear Medicine		No
4	207UN0901X	Nuclear Medicine	Nuclear Cardiology	No
5	208100000X	Physical Medicine & Rehabilitation		No
6	2084N0400X	Psychiatry & Neurology	Neurology	No
7	2085N0904X	Radiology	Nuclear Radiology	No
8	2085U0001X	Radiology	Diagnostic Ultrasound	No
9	208600000X	Surgery		No
10	207L00000X	Anesthesiology		No
11	207LP2900X	Anesthesiology	Pain Medicine	No
12	2085R0202X	Radiology	Diagnostic Radiology	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0M48990	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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