Gregory Paul Derderian, D.O. is a vascular surgery surgery in Birmingham, MI with 48 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Gregory Paul Derderian, D.O. NPI is 1457355737. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduation Year:1976
The provider's business location address is:
538 N OLD WOODWARD AVE
BIRMINGHAM, MI
ZIP 48009-375
Phone: (248) 594-3091
Fax: (248) 594-3068
The NPI 1457355737 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/2/2005 and was last updated on 9/18/2012.