Individual
DR. JAMAL A ZARGHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22250 PROVIDENCE DR, STE # 705, SOUTHFIELD, MI 48075-4825
(248) 552-9858
(248) 552-9510
Mailing address
22250 PROVIDENCE DR, STE # 705, SOUTHFIELD, MI 48075-4825
(248) 552-9858
(248) 552-9510
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301068675
MI
207RI0011X
Interventional Cardiology Physician
Primary
4301068675
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4622027
—
MI
01
—
OF360210
MEDICARE ID TYPE UNSPECIFIED
MI
Enumeration date
11/29/2005
Last updated
04/24/2014
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