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RADHA CHERUKURI MD PC NPI 1891960951


NPI Information

NPI: 1891960951
Provider Name: RADHA CHERUKURI MD PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
800 COOPER AVE
SUITE 7
SAGINAW, MI
ZIP 48602
Phone: (989) 755-4515
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RADHA CHERUKURI MD PC is a specialist in Saginaw, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RADHA CHERUKURI MD PC NPI is 1891960951. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 COOPER AVE
SUITE 7
SAGINAW, MI
ZIP 48602-394
Phone: (989) 755-4515
Fax: (989) 755-4516

The provider's authorized official is Radha Cherukuri .
The authorized official title is Owner and has the following contact phone number (989) 755-4515.

The enumeration date for this NPI number is 4/29/2008 and was last updated on 5/23/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistRC051733MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11891960951OTHERMICHIGANMEDICARE TYPE 2 BILLING NUMBER
21891960951OTHERMICHIGANBCBS
31891960951OTHERMICHIGANHPLUS
41891960951MEDICAIDMICHIGAN
51891960951OTHERMICHIGANBCN

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

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