Organization
COVENANT BREAST IMAGING CENTER SAGINAW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMAKRISHNAYYA GADAM MD (PRESIDENT)
(989) 753-9000
Entity
Organization
Contact information
Practice address
5570 STATE ST, SUITE 3, SAGINAW, MI 48603-3583
(989) 583-0115
(989) 583-0118
Mailing address
3400 N CENTER RD, SUITE 400, SAGINAW, MI 48603-7920
(989) 753-9000
(989) 753-4024
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P49390
MEDICARE
MI
Enumeration date
05/26/2006
Last updated
09/21/2009
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