Organization
PRIME RADIOLOGY CONSULTANTS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALAL KHOULANI (CEO)
(810) 625-6666
Entity
Organization
Contact information
Practice address
826 W KING ST, OWOSSO, MI 48867-2120
(810) 354-7714
Mailing address
PO BOX 320007, FLINT, MI 48532-0001
(810) 354-7714
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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