Individual
DR. DELAIR OMAR GARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FACC, FSCI
Contact information
Practice address
4160 JOHN R ST, SUITE 724, DETROIT, MI 48201-2020
(313) 832-8888
(313) 832-4988
Mailing address
4160 JOHN R ST, SUITE 724, DETROIT, MI 48201-2014
(313) 832-8888
(313) 832-4988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301081084
MI
207RC0000X
Cardiovascular Disease Physician
4301081084
MI
207RI0011X
Interventional Cardiology Physician
2001000662
MO
207RI0011X
Interventional Cardiology Physician
Primary
4301081084
MI
207UN0901X
Nuclear Cardiology Physician
4301081084
MI
2086S0129X
Vascular Surgery Physician
2001000662
MO
2086S0129X
Vascular Surgery Physician
4301081084
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205874302
—
MI
Enumeration date
06/02/2006
Last updated
12/18/2013
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