| Gobind L Garg Md | |
|
13801 W 9 Mile Rd Oak Park MI 48237-2775 | |
| (248) 547-3535 | |
| (248) 547-4404 |
| Full Name | Gobind L Garg Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 13801 W 9 Mile Rd, Oak Park, Michigan |
| Authorized Official Name and Position | Gobind L Garg (OWNER) |
| Authorized Official Contact | 2485473535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gobind L Garg Md 13801 W 9 Mile Rd Oak Park MI 48237-2775 Ph: (248) 547-3535 | Gobind L Garg Md 13801 W 9 Mile Rd Oak Park MI 48237-2775 Ph: (248) 547-3535 |
| NPI Number | 1003940958 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 11/02/2009 |
| Medicare PECOS PAC ID | 3173619251 |
|---|---|
| Medicare Enrollment ID | O20071020000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003940958 | NPI | - | NPPES |
| 1106321122 | Other | MI | BLUE CROSS ID |
| 4250333 | Medicaid | MI | |
| 110F348860 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301035485 (Michigan) | Primary |
| Provider Name | Gobind L Garg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992798961 PECOS PAC ID: 1456447531 Enrollment ID: I20071020000134 |
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