Organization
LIVONIA RADIOLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NADER R MOHTADI MD (CEO)
(734) 591-1171
Entity
Organization
Contact information
Practice address
36475 5 MILE, LIVONIA, MI 48154-1971
(734) 655-4800
Mailing address
14555 LEVAN, STE 310, LIVONIA, MI 48154-5085
(734) 591-1171
(734) 591-1656
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3516119
—
MI
Enumeration date
04/11/2006
Last updated
08/22/2020
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