NPIMap

Organization Active NPI

Covenant Breast Imaging Center Saginaw LLC

  • Diagnostic Radiology Physician
  • Saginaw, MI
National Provider Identifier
1376599837
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
COVENANT BREAST IMAGING CENTER SAGINAW LLC
Practice address
5570 State St
Suite 3
Saginaw, MI 48603-3583
Phone
(989) 583-0115
Fax
(989) 583-0118
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ramakrishnayya Gadam, MD
Title
President
Phone
(989) 753-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

5570 State St
Suite 3
Saginaw, MI 48603-3583

Mailing address

3400 N Center Rd
Suite 400
Saginaw, MI 48603-7920
Phone (989) 753-9000

Other identifiers 1

IdentifierTypeStateIssuer
0P49390OtherMIMEDICARE

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1376599837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 N CENTER RD",
            "address_2": "SUITE 400",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486037920",
            "telephone_number": "989-753-9000",
            "fax_number": "989-753-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 STATE ST",
            "address_2": "SUITE 3",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033583",
            "telephone_number": "989-583-0115",
            "fax_number": "989-583-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT BREAST IMAGING CENTER SAGINAW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "GADAM",
        "authorized_official_first_name": "RAMAKRISHNAYYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-753-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0P49390",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.