Organization
KAMLESH R GARG MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMLESH R GARG MD (OWNER)
(248) 547-3535
Entity
Organization
Contact information
Practice address
13801 W 9 MILE RD, OAK PARK, MI 48237-2775
(248) 547-3535
(248) 547-4404
Mailing address
13801 W 9 MILE RD, OAK PARK, MI 48237-2775
(248) 547-3535
(248) 547-4404
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301042291
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121014
—
MI
01
—
2606304912
BLUE CROSS ID
MI
01
—
260F304870
BLUE CROSS
MI
01
—
432081336
TAX ID
MI
Enumeration date
03/15/2007
Last updated
11/02/2009
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