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NPI 1881642056

NPI 1881642056 : EASTPOINTE RADIOLOGISTS, P.C. : DETROIT, MI

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General NPI Number Information
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    NPI Number           |    1881642056
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    Entity Type          |    Organization 
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    Legal Business Name  |    EASTPOINTE RADIOLOGISTS, P.C. 
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Dates
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    Enumeration Date     |    05/04/2006
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    Last Update Date     |    09/19/2025
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Provider Practice Location Address
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    Address Line         |    22101 MOROSS RD 
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48236-2148
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    Country              |    US
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    Telephone            |    313-343-3248
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    Fax                  |    586-741-4604
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Provider Business Mailing Address
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    Address Line         |    51307 GRATIOT AVE 
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    City                 |    CHESTERFIELD
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    State                |    MI
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    Zip                  |    48051-2079
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    Country              |    US
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    Telephone            |    586-741-3772
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    Fax                  |    586-741-4604
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Authorized Official
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    Title or Position    |    RADIOLOGIST/PRESIDENT
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    Name                 |    DR. ANTHONY  HAMAME 
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    Credential           |    M.D.
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    Telephone            |    586-741-3772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207U00000X
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    Taxonomy Name        |    Nuclear Medicine Physician
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    License Number       |    
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    License Number State |    MI
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Taxonomy #2
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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 |    MI
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