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Individual

DR. BARDIA GHOLAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3901 CHRYSLER DR FL 3, DETROIT, MI 48201
(313) 577-1396
(313) 577-1419
Mailing address
3587 CENTURY TRL, YPSILANTI, MI 48197-6172
(734) 709-3757

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
390200000X
MI
2084P0800X
Psychiatry Physician
Primary
4301086885
MI

Other

Enumeration date
03/09/2007
Last updated
05/17/2018
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