S P Garg MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

034449 Issued in MI

Legal business name

S P GARG MD PC

Practice address

15101 Southfield Road
Allen Park, MI 48101

Phone

(313) 386-3996

Fax

(313) 386-5054

NPI assigned

Apr 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Surendra P Garg, MDNPI 1619984317

Title

President/Owner

Phone

(313) 386-3996

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Surendra P Garg, MD

  • Cardiovascular Disease Physician
  • Allen Park, MI
  • NPI 1619984317
  Medicare reassignment NPD Authorized official
• Venkata Chalam, MD

  • Cardiovascular Disease Physician
  • Allen Park, MI
  • NPI 1720012974
  Medicare reassignment NPD
• Ashok Kumar Kondur, M.D.

  • Interventional Cardiology Physician
  • Taylor, MI
  • NPI 1508819434

  Cardiovascular Disease

  Medicare reassignment NPD
• Vinita Sain Sharma, M.D.

  • Obstetrics & Gynecology Physician
  • Livonia, MI
  • NPI 1356523203
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1487775524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 SOUTHFIELD ROAD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "48101",
            "telephone_number": "313-386-3996",
            "fax_number": "313-386-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 SOUTHFIELD ROAD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "48101",
            "telephone_number": "313-386-3996",
            "fax_number": "313-386-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S P GARG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "SURENDRA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "313-386-3996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "034449",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "031397",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110H219390",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meaghan Rourke, ATC
• Abby G Rumsey
• RX Discount Pharmacy
• RX Optical Laboratories, Inc.
• Deirdre Ryan, PA-C
• S.M. Kaura M.D., PLLC
• Mariam Salameh
• Sarah Salisbury
• Renee Marie Sanchez, RN
• Sandra L. Parent, PH.D., LP, PLLC

• Cardiovascular Disease Physician in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.