Healthcare Provider Details
I. General information
NPI: 1255654117
Provider Name (Legal Business Name): INSIGHT RADIOLOGISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/08/2010
Last Update Date: 04/27/2023
Certification Date: 04/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4800 S SAGINAW ST SUITE 1805
FLINT MI
48507-2669
US
IV. Provider business mailing address
4800 S SAGINAW ST SUITE 1650
FLINT MI
48507-2669
US
V. Phone/Fax
- Phone: 810-275-9688
- Fax: 810-963-1900
- Phone: 810-275-9688
- Fax: 810-963-1900
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JAWAD
A
SHAH
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 810-732-8336