# NORTHLAND RADIOLOGY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225652993
- **Authorized official:** RAMEGOWDA RAJAGOPAL MD (OWNER)
- **Authorized official phone:** (248) 827-7200

## Contact information

- **Practice address:** 20905 GREENFIELD ROAD, SUITE 406, SOUTHFIELD, MI 48075-5344
- **Practice address phone:** (248) 513-8229
- **Practice address fax:** (248) 479-1998
- **Mailing address:** 26222 TELEGRAPH ROAD, SOUTHFIELD, MI 48033-5318
- **Mailing address phone:** (248) 827-7200
- **Mailing address fax:** (248) 827-2641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 05/29/2020
- **Last updated:** 05/29/2020
