Individual
HIKMAT P GOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39242 DEQUINDRE RD, SUITE 101, STERLING HEIGHTS, MI 48310-1764
(586) 446-8060
Mailing address
3352 CIRCLE DR, COMMERCE, MI 48382-1957
(586) 446-8060
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301044392
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4418981
—
MI
05
—
4423936
—
MI
Enumeration date
03/09/2006
Last updated
04/13/2016
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