Provider Demographics
NPI:1881642056
Name:EASTPOINTE RADIOLOGISTS, P.C.
Entity type:Organization
Organization Name:EASTPOINTE RADIOLOGISTS, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RADIOLOGIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMAME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-741-3772
Mailing Address - Street 1:51307 GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48051-2079
Mailing Address - Country:US
Mailing Address - Phone:586-741-3772
Mailing Address - Fax:586-741-4604
Practice Address - Street 1:22101 MOROSS RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48236-2148
Practice Address - Country:US
Practice Address - Phone:313-343-3248
Practice Address - Fax:586-741-4604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI207U00000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No207U00000XAllopathic & Osteopathic PhysiciansNuclear MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1111920004OtherWELLNESS PLAN
MI506044OtherCARE CHOICES HMO
MI0Q26008OtherBCBS OF MICHIGAN
0Q26008OtherFEDERAL BLACK LUNG
300Q260080OtherBCN ADVANTAGE
C20438OtherRAILROAD MEDICARE/PALMETT
134268500OtherUS DEPT. OF LABOR
MISJ820005OtherM-CARE INSURANCE
MI320433OtherULTICARE HMO
MI495680OtherHEALTH ALLIANCE PLAN
MI506044OtherPREFERRED CHOICES PPO
MI495680OtherHEALTH ALLIANCE SENIOR PL
MI0Q26008OtherBCBS OF MICHIGAN
MISJ820005OtherM-CARE INSURANCE
MI506044OtherCARE CHOICES HMO