| Pawan K Garg Pllc | |
|
2814 Electric St Wyandotte MI 48192-4944 | |
| (734) 284-6050 | |
| (734) 284-6552 |
| Full Name | Pawan K Garg Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2814 Electric St, Wyandotte, Michigan |
| Authorized Official Name and Position | Sushma Garg (MANAGER) |
| Authorized Official Contact | 7342846050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pawan K Garg Pllc 5557 Royal Wood West Bloomfield MI 48322-2066 Ph: (734) 284-6050 | Pawan K Garg Pllc 2814 Electric St Wyandotte MI 48192-4944 Ph: (734) 284-6050 |
| NPI Number | 1225304363 |
|---|---|
| Provider Enumeration Date | 03/22/2012 |
| Last Update Date | 03/22/2012 |
| Medicare PECOS PAC ID | 9931355302 |
|---|---|
| Medicare Enrollment ID | O20120820000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225304363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301047448 (Michigan) | Primary |
| Provider Name | Pawan K Garg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194804385 PECOS PAC ID: 3274789649 Enrollment ID: I20120820000293 |
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