Bardia Gholami (NPI# 1316079270, PAC ID# 5698903235) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1316079270 |
| PAC ID by PECOS | 5698903235 |
| Professional Enrollment ID | I20140106001083 |
| Full Name | Bardia Gholami |
| Organization Legal Name | UNIVERSITY PHYSICIAN GROUP |
| Address |
3901 Walter P Chrysler Service Dr Tolan Park Detroit MI 48201-2167 |
| Phone Number | 3139933434 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 8628087681 |
| Number of Group Practice Members | 359 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230273 | DETROIT RECEIVING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3901 Walter P Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 | 3139933434 | UNIVERSITY PHYSICIAN GROUP |
| Organization Legal Name | UNIVERSITY PHYSICIAN GROUP |
| Physicians | 393 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony M Parendo | Ophthalmology | University Physician Group | 4717 Saint Antoine St, Detroit, MI 48201-1423 |
| Julia Helene Bellamy | Psychologist, Clinical | University Physician Group | 3901 Walter P Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 |
| Shira Heisler | Pediatric Medicine | University Physician Group | 50 E Canfield, Suite 101 S, Detroit, MI 48201-1804 |
| John David Cramer | Otolaryngology | University Physician Group | 26400 W Twelve Mile Rd, Suite 111, Southfield, MI 48034-1771 |
| Bahig Shehata | Pathology | University Physician Group | 3901 Beaubien St 1st Floor Main Bldg, Detroit, MI 48201-2119 |
| Daniel E Montenegro | Ophthalmology | University Physician Group | 15055 Plaza S Dr, Taylor, MI 48180-5202 |
| Golbon Aghamohammadi | Nurse Practitioner | University Physician Group | 1420 Stephenson Hwy, Suite 200, Troy, MI 48083-1189 |
| Michael Matthew Dominello | Radiation Oncology | University Physician Group | 4100 John R St, Detroit, MI 48201-2013 |
| Ijeoma Onyema Nnodim | Internal Medicine | University Physician Group | 50 E Canfield St, Detroit, MI 48201-1804 |
| Edward F Mischel | Clinical Social Worker | University Physician Group | 35425 W Michigan Ave, Wayne, MI 48184-9800 |
| Street Address |
3901 WALTER P CHRYSLER SERVICE DR TOLAN PARK |
| City | DETROIT |
| State | MI |
| Zip | 48201-2167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julia Helene Bellamy | Psychologist, Clinical | University Physician Group | 3901 Walter P Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 |
| Shahid Hussain | Psychiatry | University Physician Group | 3901 Walter P Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 |
| Sheila S Henry | Nurse Practitioner | University Physician Group | 3901 Walter P Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 |
| Ashok R Shah | Psychiatry | University Physician Group | 3901 Walter P Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 |
| Shelly A Stettner | Psychiatry | University Physician Group | 3901 Walter P Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Rose Berger Weber | Neurology | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Jennifer R Noble | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Ronald P Ruffing | Emergency Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Charles B Pelshaw | Physical Medicine and Rehabilitation | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Katherine O'brien Cashen | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Angela L Kavenaugh | Emergency Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Deemah R Mahadin | Cardiovascular Disease (cardiology) | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Robert L Conway | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Elizabeth A Secord | Allergy/immunology | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Melissa Y February | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Find all physicians in zip 48201 | |||
| City | DETROIT |
| Zip Code | 48201 |
| Specialty | PSYCHIATRY |
| City + Specialty | DETROIT + PSYCHIATRY |
Please comment or provide details below to improve the information on Bardia Gholami.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.