Active NPI
Radha Cherukuri MD PC
- Specialist
- Saginaw, MI
National Provider Identifier
1891960951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- RC051733
- Legal business name
- RADHA CHERUKURI MD PC
- Practice address
- 800 Cooper Ave
Suite 7
Saginaw, MI 48602-5394 - Phone
- (989) 755-4515
- Fax
- (989) 755-4516
- NPI assigned
- Apr 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Radha Cherukuri, MD
- Title
- Owner
- Phone
- (989) 755-4515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | RC051733 | MI | Primary |
Addresses
Primary practice location
800 Cooper Ave
Suite 7
Saginaw, MI 48602-5394
Mailing address
3785 Bay Rd
Saginaw, MI 48603
Phone (989) 791-2455
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891960951 | Other | MI | BCN |
| 1891960951 | Other | MI | BCBS |
| 1891960951 | Medicaid | MI | |
| 1891960951 | Other | MI | HPLUS |
| 1891960951 | Other | MI | MEDICARE TYPE 2 BILLING NUMBER |
National Provider Directory
National Provider DirectoryLocations
5400 Mackinaw Rd
Ste 2401
Saginaw, MI 48604
Phone (989) 799-3460
5400 Mackinaw Rd
#2401
Saginaw, MI 48604
Phone (989) 799-3460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527033600000",
"number": "1891960951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3785 BAY RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "48603",
"telephone_number": "989-791-2455",
"fax_number": "989-791-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 COOPER AVE",
"address_2": "SUITE 7",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025394",
"telephone_number": "989-755-4515",
"fax_number": "989-755-4516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADHA CHERUKURI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-29",
"last_updated": "2018-05-23",
"status": "A",
"authorized_official_last_name": "CHERUKURI",
"authorized_official_first_name": "RADHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "989-755-4515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MI",
"license": "RC051733",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "1891960951",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1891960951",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891960951",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPLUS",
"identifier": "1891960951",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TYPE 2 BILLING NUMBER",
"identifier": "1891960951",
"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 May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.