Organization
RADHA CHERUKURI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADHA CHERUKURI MD (OWNER)
(989) 755-4515
Entity
Organization
Contact information
Practice address
800 COOPER AVE, SUITE 7, SAGINAW, MI 48602-5394
(989) 755-4515
(989) 755-4516
Mailing address
3785 BAY RD, SAGINAW, MI 48603
(989) 791-2455
(989) 791-1392
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RC051733
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891960951
BCN
MI
05
—
1891960951
—
MI
Enumeration date
04/29/2008
Last updated
05/23/2018
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