Organization
OAKWOOD CANTON IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHOK B JAIN MD (PRESIDENT)
(734) 446-9700
Entity
Organization
Contact information
Practice address
2050 N HAGGERTY RD, SUITE 180, CANTON, MI 48187-3795
(734) 446-9700
(734) 446-9704
Mailing address
2050 N HAGGERTY RD, SUITE 180, CANTON, MI 48187-3795
(734) 446-9700
(734) 446-9704
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H22844
BCBS OF MICHIGAN
MI
01
—
143055
CARE CHOICES
MI
01
—
611456600
US DEPT OF LABOR WORKCOMP
MI
Enumeration date
07/03/2006
Last updated
06/12/2008
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