Organization
S E RADIOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHOK B JAIN MD (PRESIDENT)
(734) 326-5030
Entity
Organization
Contact information
Practice address
33155 ANNAPOLIS WAY, WAYNE, MI 48184-2405
(734) 326-5030
Mailing address
4000 2ND ST, WAYNE, MI 48184-1715
(734) 326-5030
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003836
CAPE HEALTH PLAN
MI
01
—
008149
MIDWEST HEALTH PLAN
MI
01
—
0H27893
BLUE CROSS BLUE SHIELD MI
MI
01
—
107851
CARE CHOICES
MI
01
—
26538
FEDERAL BLACK LUNG
MI
01
—
275144
FEDERAL BLACK LUNG
MI
01
—
29711
COMMUNITY CHOICE MI
MI
01
—
2R27618
HEALTHPLUS OF MI
MI
01
—
3S27618
HEALTHPLUS OF MI
MI
01
—
7668
PRIORITY HEALTH
MI
01
—
CE4307
RAILROAD MEDICARE
MI
01
—
O26194
HEALTH ALLIANCE PLAN
MI
01
—
RA820036
M-CARE
MI
Enumeration date
07/03/2006
Last updated
06/12/2008
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