| Northland Radiology Inc | |
|
20905 Greenfield Rd Suite 105 Southfield MI 48075-5344 | |
| (248) 569-0296 | |
| (248) 569-3390 |
| Full Name | Northland Radiology Inc |
|---|---|
| Speciality | Radiology |
| Location | 20905 Greenfield Rd, Southfield, Michigan |
| Authorized Official Name and Position | Prakash B Gandhi (ADMINISTRATOR) |
| Authorized Official Contact | 2848277200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northland Radiology Inc 26222 Telegraph Rd Suite 100 Southfield MI 48033-5318 Ph: (248) 827-7200 | Northland Radiology Inc 20905 Greenfield Rd Suite 105 Southfield MI 48075-5344 Ph: (248) 569-0296 |
| NPI Number | 1386804060 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 11/13/2013 |
| Medicare PECOS PAC ID | 7719884741 |
|---|---|
| Medicare Enrollment ID | O20040214000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386804060 | NPI | - | NPPES |
| Provider Name | Mark Z Karabajakian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578571501 PECOS PAC ID: 4082510045 Enrollment ID: I20031210000417 |
| Provider Name | Ramegowda Rajagopal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538131511 PECOS PAC ID: 1557261328 Enrollment ID: I20040109000584 |
| Provider Name | Veena Kaul |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134205834 PECOS PAC ID: 6507768868 Enrollment ID: I20040126000778 |
| Provider Name | Anthony A Bennett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801866397 PECOS PAC ID: 0749176394 Enrollment ID: I20040223000471 |
| Provider Name | Steven M Lewin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710952601 PECOS PAC ID: 5991787673 Enrollment ID: I20040605000166 |
| Provider Name | Lisa A Mueller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346207206 PECOS PAC ID: 8022091354 Enrollment ID: I20040609000312 |
| Provider Name | Peter Peer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669431748 PECOS PAC ID: 4082698485 Enrollment ID: I20040615000066 |
| Provider Name | Abhinav Raina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649214974 PECOS PAC ID: 2062499031 Enrollment ID: I20040707000973 |
| Provider Name | Nilofer Nisar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922094564 PECOS PAC ID: 4981682143 Enrollment ID: I20040713000814 |
| Provider Name | Frank Fayz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104856145 PECOS PAC ID: 7315841475 Enrollment ID: I20040812000816 |
| Provider Name | Stanford C Rapp |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427038165 PECOS PAC ID: 1153397773 Enrollment ID: I20040907000028 |
| Provider Name | Ranajit Sil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932108388 PECOS PAC ID: 1153399324 Enrollment ID: I20040924000474 |
| Provider Name | Mohamed L Osman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306954227 PECOS PAC ID: 6709849128 Enrollment ID: I20041108000188 |
| Provider Name | Jay R Joshi |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1447203153 PECOS PAC ID: 5092751313 Enrollment ID: I20050707000948 |
| Provider Name | Benjamin Krpichak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194759555 PECOS PAC ID: 1052343043 Enrollment ID: I20050910000250 |
| Provider Name | Rocky Charles Saenz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689613952 PECOS PAC ID: 3375572928 Enrollment ID: I20060605000171 |
| Provider Name | Daya Vora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023218153 PECOS PAC ID: 0042301947 Enrollment ID: I20070807000560 |
| Provider Name | Robert P Farhat |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033239959 PECOS PAC ID: 7810089687 Enrollment ID: I20070824000094 |
| Provider Name | Judith B Howze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720282072 PECOS PAC ID: 1658464227 Enrollment ID: I20070912000745 |
| Provider Name | Andrew V Mizzi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982774469 PECOS PAC ID: 3072502715 Enrollment ID: I20080605000482 |
| Provider Name | Nenad Serafimovski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093927972 PECOS PAC ID: 6305917899 Enrollment ID: I20080610000830 |
| Provider Name | Monik Lala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194847038 PECOS PAC ID: 9830264290 Enrollment ID: I20080819000766 |
| Provider Name | O L Matthews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225096050 PECOS PAC ID: 0345397956 Enrollment ID: I20090420000197 |
| Provider Name | Vikas M Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760550578 PECOS PAC ID: 9537217740 Enrollment ID: I20090428000138 |
| Provider Name | Khurshaid Alam |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1588871826 PECOS PAC ID: 0345398277 Enrollment ID: I20090504000443 |
| Provider Name | Adam M Kuz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699909549 PECOS PAC ID: 3375696289 Enrollment ID: I20090724000284 |
| Provider Name | Ivan R Landan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659341295 PECOS PAC ID: 8426103102 Enrollment ID: I20090901000594 |
| Provider Name | Bridget Kapsokavathis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326085101 PECOS PAC ID: 0749224947 Enrollment ID: I20101013000722 |
| Provider Name | Sidney M Broder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851465025 PECOS PAC ID: 1254520620 Enrollment ID: I20110117000165 |
| Provider Name | Thomas D Jakubczak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477561629 PECOS PAC ID: 2961682224 Enrollment ID: I20110203001088 |
| Provider Name | Lucyna A. Pullis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538465190 PECOS PAC ID: 7719168426 Enrollment ID: I20110228000640 |
| Provider Name | Daniel L Longo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154334506 PECOS PAC ID: 4183882038 Enrollment ID: I20120222001082 |
| Provider Name | Gokul Toshniwal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134329766 PECOS PAC ID: 4385894872 Enrollment ID: I20121018000158 |
| Provider Name | Ayman Tarabishy |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1568751550 PECOS PAC ID: 5698902989 Enrollment ID: I20131211001976 |
| Provider Name | Mahmoud Sabbagh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770898090 PECOS PAC ID: 7719100874 Enrollment ID: I20140519002242 |
| Provider Name | Elias J Antypas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013171941 PECOS PAC ID: 0648401448 Enrollment ID: I20140718001525 |
| Provider Name | Ablah A Mubaraz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679946016 PECOS PAC ID: 2062717135 Enrollment ID: I20160226002036 |
| Provider Name | Nichole F Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972016913 PECOS PAC ID: 1759640022 Enrollment ID: I20180111002104 |
| Provider Name | George R Dirani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619310885 PECOS PAC ID: 2062644875 Enrollment ID: I20180302002036 |
| Provider Name | Hersh Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912345950 PECOS PAC ID: 8820395130 Enrollment ID: I20180530003093 |
| Provider Name | Scott Allen Mccarty |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558789008 PECOS PAC ID: 7810299575 Enrollment ID: I20200626002185 |
| Provider Name | Shawn Kumar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043552953 PECOS PAC ID: 2961765300 Enrollment ID: I20210514001648 |
| Provider Name | Philip Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649411422 PECOS PAC ID: 1759551088 Enrollment ID: I20210525000909 |
| Provider Name | Morad Nasseri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154615565 PECOS PAC ID: 8123271285 Enrollment ID: I20210817000541 |
| Provider Name | Jason B Crowder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114988086 PECOS PAC ID: 6800960790 Enrollment ID: I20211025000486 |
| Provider Name | Mark B Wall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053447268 PECOS PAC ID: 5193883569 Enrollment ID: I20211026000708 |
| Provider Name | Dustin Lee Yontz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326275694 PECOS PAC ID: 1759540958 Enrollment ID: I20220405001216 |
| Provider Name | Lisa Mabry Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912298498 PECOS PAC ID: 6406092295 Enrollment ID: I20220412001059 |
| Provider Name | Michael Pham |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780144709 PECOS PAC ID: 5991034563 Enrollment ID: I20240820000096 |
Med-share, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26222 Telegraph Rd, Suite 100, Southfield, MI 48033 Phone: 248-827-7200 Fax: 248-827-2641 | |
Maecenas Health Systems Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26677 W 12 Mile Rd, Southfield, MI 48034 Phone: 248-358-6995 | |
Ark Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-924-1429 Fax: 248-419-2431 | |
Laina Feinstein Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29829 Telegraph Rd, Suite 107, Southfield, MI 48034 Phone: 248-304-0786 Fax: 248-354-8559 | |
Magnum Managment Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17600 W 8 Mile Rd, Suite # 5, Southfield, MI 48075 Phone: 248-424-9749 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26185 Greenfield Rd, Southfield, MI 48076 Phone: 248-569-2040 Fax: 248-569-2048 | |
Forever Foy Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18161 W 13 Mile Rd Ste C2, Southfield, MI 48076 Phone: 248-731-7414 Fax: 248-234-6337 |