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Organization

METRO DIAGNOSTIC IMAGING, PLLC

Active
Parent organization
MACOMB PHYSICIAN GROUP, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MACOMB PHYSICIAN GROUP, PLLC
Authorized official
GORDHAN G DIORA MD (PRESIDENT)
(586) 795-4060
Entity
Organization

Contact information

Practice address
8244 METROPOLITAN PKWY, SUITE B, STERLING HEIGHTS, MI 48312-2778
(586) 795-4060
(586) 795-5595
Mailing address
8244 METROPOLITAN PKWY, SUITE B, STERLING HEIGHTS, MI 48312-2778
(586) 795-4060
(586) 795-5595

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician
207RG0100X
Gastroenterology Physician
207RN0300X
Nephrology Physician
207RP1001X
Pulmonary Disease Physician
207V00000X
Obstetrics & Gynecology Physician
2084N0400X
Neurology Physician
2085R0202X
Diagnostic Radiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
700E005900
BLUE CROSS
MI
Enumeration date
10/26/2006
Last updated
07/08/2025
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