Provider Demographics
NPI:1528724689
Name:T & G HEALTH LLC
Entity type:Organization
Organization Name:T & G HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHOPANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GANPATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-613-3673
Mailing Address - Street 1:25663 SMOTHERMAN RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4756
Mailing Address - Country:US
Mailing Address - Phone:248-613-3673
Mailing Address - Fax:
Practice Address - Street 1:25663 SMOTHERMAN RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4756
Practice Address - Country:US
Practice Address - Phone:248-613-3673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty