Individual
GEORGES B GHAFARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24211 LITTLE MACK AVE, ST CLAIR SHORES, MI 48080-1190
(586) 498-0440
(586) 498-0401
Mailing address
24211 LITTLE MACK AVE, ST CLAIR SHORES, MI 48080-1190
(586) 498-0440
(586) 498-0401
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301407083
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10
10
MI
05
—
3380370
—
MI
Enumeration date
05/11/2006
Last updated
09/06/2007
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