Provider Demographics
NPI:1134420805
Name:CARVER, GHARIAN MELIK
Entity type:Individual
Prefix:MR
First Name:GHARIAN
Middle Name:MELIK
Last Name:CARVER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4354
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48037-4354
Mailing Address - Country:US
Mailing Address - Phone:313-623-6907
Mailing Address - Fax:
Practice Address - Street 1:29900 FRANKLIN RD UNIT 151
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1199
Practice Address - Country:US
Practice Address - Phone:313-623-6907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant