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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
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