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General NPI Number Information
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NPI Number | 1326835893
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Entity Type | Organization
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Legal Business Name | ATLAS RADIOLOGY PC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 500 CAMPUS DR
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City | HANCOCK
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State | MI
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Zip | 49930-1452
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Country | US
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Telephone | 734-657-0579
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Fax |
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Provider Business Mailing Address
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Address Line | 1175 9TH ST
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City | ISHPEMING
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State | MI
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Zip | 49849-1116
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Country | US
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Telephone | 906-360-3014
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KHURSHAID ALAM
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Credential | MD
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Telephone | 906-360-3014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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