MEDICARE: TAREK GARADA MD

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	208000000X	Pediatrics Physician	4301056867	MI

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
2	125950	OTHER	MI	CARE CHOICES
3	063672	OTHER	MI	BLUE CROSS
4	P61346	OTHER	MI	BLUE CROSS
5	5770325	OTHER	MI	AETNA
6	C5269	OTHER	MI	MCARE

General Provider Information

NPI Number	:	1962444679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAREK GARADA MD

Provider Business Mailing Address
First Line	:	23133 ORCHARD LAKE RD
Second Line	:	SUIET 100
City	:	FARMINGTON
State	:	MI
Zip	:	48336-3268
Country	:	US
Telephone Number	:	248-477-0100
Fax Number	:	248-477-6153

Provider Business Practice Location Address
First Line	:	23133 ORCHARD LAKE RD
Second Line	:	SUIET 100
City	:	FARMINGTON
State	:	MI
Zip	:	48336-3268
Country	:	US
Telephone Number	:	248-477-0100
Fax Number	:	248-477-6153

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

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	10/21/2011

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Directions to “ TAREK GARADA MD” Practice Location

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