Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY PAUL DERDERIAN, D.O.
ActiveGREGORY PAUL DERDERIAN, D.O. is a Vascular Surgery healthcare provider located in BIRMINGHAM, Michigan. NPI 1457355737 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · BIRMINGHAM, MI
Registration Details
- NPI Number
- 1457355737
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2005 (21.225501419407 yrs)
- Last Updated
- Sep 18, 2012
- License
-
5101007182 (MI)
Practice Information
- Address
-
538 N OLD WOODWARD AVEBIRMINGHAM, MI, 480095375Browse MI providers · Browse ZIP 48009
- Phone
- 2485943091
- Fax
- 2485943068
- Primary Specialty
-
Vascular Surgery
2086S0129X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.