Organization
PSI RADIOLOGIST GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR COLLADO M.D. PHD (RADIOLOGIST)
(313) 964-9072
Entity
Organization
Contact information
Practice address
561 E JEFFERSON AVE, DETROIT, MI 48226-4324
(313) 964-9072
(313) 964-9407
Mailing address
547 E JEFFERSON AVE, DETROIT, MI 48226-4324
(313) 962-2133
(313) 962-2134
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
4301024834
MI
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
06/29/2010
Last updated
06/17/2011
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