Organization
S P GARG MD PC
Active
Organization
S P GARG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURENDRA P GARG MD (PRESIDENT/OWNER)
(313) 386-3996
Entity
Organization
Contact information
Practice address
15101 SOUTHFIELD ROAD, ALLEN PARK, MI 48101
(313) 386-3996
(313) 386-5054
Mailing address
15101 SOUTHFIELD ROAD, ALLEN PARK, MI 48101
(313) 386-3996
(313) 386-5054
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
031397
MI
207RC0000X
Cardiovascular Disease Physician
Primary
034449
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110H219390
BCBS
MI
Enumeration date
04/03/2007
Last updated
08/07/2008
Update your record
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