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NPI Code Detail

MEDICARE: JACKSON RADIOLOGY CONSULTANTS, P C

MEDICARE: JACKSON RADIOLOGY CONSULTANTS, P C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianMI

General Provider Information

NPI Number : 1295736015
Entity Type Code : Organization
Provider Name (Legal Business Name) : JACKSON RADIOLOGY CONSULTANTS, P C
Provider Business Mailing Address
First Line : 2800 SPRING ARBOR RD STE 102
Second Line : PO BOX 905
City : JACKSON
State : MI
Zip : 49203-3895
Country : US
Telephone Number : 517-783-2612
Fax Number : 517-783-5991
Provider Business Practice Location Address
First Line : 205 N EAST AVE
Second Line : IMAGING DEPARTMENT
City : JACKSON
State : MI
Zip : 49201-1753
Country : US
Telephone Number : 517-783-2612
Fax Number : 517-783-5991
Authorized Official
Title or Position : PRESIDENT
Name : PIYUSH C PATEL
Credential : M.D.
Telephone Number : 517-783-2612
Provider Enumeration Date : 08/02/2005
Last Update Date : 02/02/2024

Similar Medicare Providers

1982308128 — GARRETT TOMASKI
Practice Location Address:
205 N EAST AVE
JACKSON, MI
49201-1753
Practice Phone: 313-916-1601
Practice Fax:
1780384875 — ABDULLAH KHALED AL-ARFAJ MD
Practice Location Address:
205 N EAST AVE
JACKSON, MI
49201-1753
Practice Phone: 517-205-4800
Practice Fax:
1922703164 — DR. CAROLINA LEITE GREEN MD
Practice Location Address:
205 N EAST AVE
JACKSON, MI
49201-1753
Practice Phone: 517-205-4800
Practice Fax:
1639020472 — NATHAN THOMAS WESTERLUND MS, PA-C
Practice Location Address:
205 N EAST AVE
JACKSON, MI
49201-1753
Practice Phone: 517-205-4800
Practice Fax:
1093715690 — ESSAM Y. TELLAWI M.D.
Practice Location Address:
205 N EAST AVE
JACKSON, MI
49201-1753
Practice Phone: 517-205-4800
Practice Fax:
1447251194 — BHASKAR U SHENAI M.D.
Practice Location Address:
205 N EAST AVE , IMAGING DEPARTMENT
JACKSON, MI
49201-1753
Practice Phone: 517-783-2612
Practice Fax: 517-783-6095

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