Individual
ZAMIR GANI PODGORICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1840 WEALTHY ST SE, MC 426, GRAND RAPIDS, MI 49506-2921
(616) 774-5221
(616) 774-5391
Mailing address
PO BOX 1682, GRAND RAPIDS, MI 49501-1682
(616) 774-5221
(616) 774-5391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301068204
MI
208M00000X
Hospitalist Physician
Primary
4301068204
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110D111790
BCBSM
MI
05
—
4532556
—
MI
05
—
4532565
—
MI
05
—
4617027
—
MI
01
—
P00051953
RAILROAD MEDICARE
—
Enumeration date
02/15/2006
Last updated
08/08/2023
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