MEDICARE: GARG AND ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	4301036931	MI

General Provider Information

NPI Number	:	1174617948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARG AND ASSOCIATES INC

Provider Business Mailing Address
First Line	:	2945 ORCHARD LAKE RD
Second Line	:
City	:	KEEGO HARBOR
State	:	MI
Zip	:	48320-1458
Country	:	US
Telephone Number	:	248-681-4200
Fax Number	:	248-681-0818

Provider Business Practice Location Address
First Line	:	2945 ORCHARD LAKE RD
Second Line	:
City	:	KEEGO HARBOR
State	:	MI
Zip	:	48320-1458
Country	:	US
Telephone Number	:	248-681-4200
Fax Number	:	248-681-0818

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TILAK R GARG
Credential	:	M.D
Telephone Number	:	248-681-4200

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	04/01/2009

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