Provider Demographics
NPI:1730929209
Name:RADIOLOGY READS PLLC
Entity type:Organization
Organization Name:RADIOLOGY READS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-570-2392
Mailing Address - Street 1:18025 STONEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-4345
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18025 STONEBROOK DR
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48168-4345
Practice Address - Country:US
Practice Address - Phone:313-570-2392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology