MEDICARE: ZAMIR GANI PODGORICA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4301068204	MI
2	208M00000X	Hospitalist Physician	4301068204	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00051953	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	110D111790	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1366416463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAMIR GANI PODGORICA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1682
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49501-1682
Country	:	US
Telephone Number	:	616-774-5221
Fax Number	:	616-774-5391

Provider Business Practice Location Address
First Line	:	1840 WEALTHY ST SE
Second Line	:	MC 426
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49506-2921
Country	:	US
Telephone Number	:	616-774-5221
Fax Number	:	616-774-5391

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	08/08/2023

Similar Medicare Providers

1427240571 — MR. STEPHEN EDWARD KUSHINER CRNA
Practice Location Address:

1840 WEALTHY ST SE
GRAND RAPIDS, MI
49506-2921

Practice Phone: 616-774-7870
Practice Fax:

1851371843 — DR. BARTON LAWRENCE SEYMOUR DO
Practice Location Address:

1840 WEALTHY ST SE
GRAND RAPIDS, MI
49506-2921

Practice Phone: 616-774-7870
Practice Fax:

1790759801 — JENIFER ELIZABETH KRAUSE M.D.
Practice Location Address:

1840 WEALTHY ST SE , MC 426
GRAND RAPIDS, MI
49506-2921

Practice Phone: 616-774-5221
Practice Fax: 616-774-5391

1386618049 — PATRICIA ANN TOPPING P.A.
Practice Location Address:

1840 WEALTHY ST SE , MC 426
GRAND RAPIDS, MI
49506-2921

Practice Phone: 616-774-5221
Practice Fax: 616-774-5391

1982678652 — LAURA LANETTE OBENAUF P.A.
Practice Location Address:

1840 WEALTHY ST SE , MC 426
GRAND RAPIDS, MI
49506-2921

Practice Phone: 616-774-5221
Practice Fax: 616-774-5391

1700844545 — STACIE LOUISE WALKER N.P.
Practice Location Address:

1840 WEALTHY ST SE , MC 426
GRAND RAPIDS, MI
49506-2921

Practice Phone: 616-774-5221
Practice Fax: 616-774-5391

Directions to “ ZAMIR GANI PODGORICA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.