Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. George B Ghanem, MD

Individual provider Cardiovascular Disease Physician · NPI 1104899269

Dr. George B Ghanem, MD is a Cardiovascular Disease (Cardiology) in St Clair Shores, Michigan. Qualified in 1974, 52 years ago. Practices with Eastlake Cardiovascular PC, a 20-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
52
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

24211 Little Mack Ave
St Clair Shores, MI 48080-1190
Phone: (586) 498-0440
Fax: (586) 498-0401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 4301036503 (MI)

Record details

NPI number1104899269
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 9, 2006
Last updated in NPPESDecember 1, 2020
Certification dateDecember 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Group practice Eastlake Cardiovascular Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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