Gonda, Roger L
Gonda, Roger L is an individual health care provider with primary practice located at 6245 Inkster Rd , Garden City MI 48135-4001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gonda, Roger L can be contacted via phone (734) 458-3412.Contact Information
Primary practice address
6245 Inkster Rd
Garden City MI 48135-4001
Phone: (734) 458-3412
Fax: (734) 677-7407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301047458 | Michigan |
Profile Details
| NPI number | 1821032277 |
|---|---|
| LBN Legal business name | Gonda, Roger L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Dec 20th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821032277 | NPPES |
| Michigan | MEDICAID | 4437744 |
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