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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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