Organization
NORTHLAND RADIOLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMEGOWDA RAJAGOPAL MD (OWNER)
(248) 827-7200
Entity
Organization
Contact information
Practice address
20905 GREENFIELD ROAD, SUITE 406, SOUTHFIELD, MI 48075-5344
(248) 513-8229
(248) 479-1998
Mailing address
26222 TELEGRAPH ROAD, SOUTHFIELD, MI 48033-5318
(248) 827-7200
(248) 827-2641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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