Organization
MED-SCAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH GANDHI (PRESIDENT)
(248) 827-7200
Entity
Organization
Contact information
Practice address
G3259 BEECHER RD, FLINT, MI 48532-3615
(810) 732-1560
Mailing address
26222 TELEGRAPH RD, SUITE 100, SOUTHFIELD, MI 48034
(248) 827-7200
(248) 827-2641
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
207UN0902X
Nuclear Imaging & Therapy Physician
—
—
2084N0400X
Neurology Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B51543
BCBS
MI
01
—
0F37829
MEDICARE
MI
Enumeration date
06/06/2006
Last updated
12/21/2007
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