Healthcare Provider Details

I. General information

NPI: 1285781393
Provider Name (Legal Business Name): GARDEN CITY MEDICAL CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 MIDDLEBELT RD
GARDEN CITY MI
48135-2961
US

IV. Provider business mailing address

2020 MIDDLEBELT RD
GARDEN CITY MI
48135-2961
US

V. Phone/Fax

Practice location:
  • Phone: 734-522-3770
  • Fax: 734-522-6114
Mailing address:
  • Phone: 734-522-3770
  • Fax: 734-522-6114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. THIMMIAH RAMESH
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 734-522-3770