Individual
DR. RADHA CHERUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 746-7500
(989) 746-7723
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 746-7500
(989) 746-7723
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
RC051733
MI
174400000X
Specialist
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
4301051733
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275532954
MEDICARE BILLING PROVIDER
MI
05
—
1275532954
—
MI
01
—
1607310061
BCBS PIN
MI
01
—
562342902100
HEALTH PLUS ID
MI
Enumeration date
07/15/2005
Last updated
10/23/2024
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