Healthcare Provider Details

I. General information

NPI: 1265215081
Provider Name (Legal Business Name): HARDEEP SINGH GARCHA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 W UNIVERSITY DR STE 250
ROCHESTER MI
48307-1886
US

IV. Provider business mailing address

1135 W UNIVERSITY DR STE 250
ROCHESTER HILLS MI
48307-1886
US

V. Phone/Fax

Practice location:
  • Phone: 248-601-4900
  • Fax:
Mailing address:
  • Phone: 248-601-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number5315241127
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4351051389
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: