MEDICARE: AJIT S. GARCHA, MD, 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	208100000X	Physical Medicine & Rehabilitation Physician	A88493	CA

General Provider Information

NPI Number	:	1407871239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AJIT S. GARCHA, MD, INC

Provider Business Mailing Address
First Line	:	PO BOX 991270
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96099-1270
Country	:	US
Telephone Number	:	530-241-0374
Fax Number	:	530-241-9065

Provider Business Practice Location Address
First Line	:	1212 SOUTH ST
Second Line	:	SUITE A
City	:	REDDING
State	:	CA
Zip	:	96001-1912
Country	:	US
Telephone Number	:	530-241-0374
Fax Number	:	530-241-9065

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AJIT SINGH GARCHA
Credential	:	MD
Telephone Number	:	530-241-0374

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	05/05/2008

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