Individual
HERBERT R. KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101005027
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1327210
—
MI
01
—
300F361250
BCBS GROUP PIN
MI
01
—
3156309204
BCBS PIN #
MI
01
—
CA3518
MEDICARE RR GROUP PIN
MI
Enumeration date
07/04/2006
Last updated
02/03/2011
Update your record
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