Diora, Gordhan G

Diora, Gordhan G is an individual health care provider with primary practice located at 8244 Metropolitan Pkwy Suite C, Sterling Heights MI 48312-2778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Diora, Gordhan G can be contacted via phone (586) 795-4060.

Contact Information

Primary practice address
8244 Metropolitan Pkwy Suite C Sterling Heights MI 48312-2778
Phone: (586) 795-4060
Fax: (586) 795-5595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301047710 Michigan

Profile Details

NPI number 1902896731
LBN Legal business name Diora, Gordhan G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 19th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902896731 NPPES
Michigan MEDICAID 4559756

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