MEDICARE: DR. NAVEEN GARG M.D.

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	2085R0202X	Diagnostic Radiology Physician	227179	MA
2	2085R0202X	Diagnostic Radiology Physician	248670	NY
3	2085R0202X	Diagnostic Radiology Physician	061074	GA
4	2085R0202X	Diagnostic Radiology Physician	A105205	CA
5	2085R0202X	Diagnostic Radiology Physician	M9299	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8BZ813	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1447282975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAVEEN GARG M.D.

Provider Business Mailing Address
First Line	:	1400 PRESSLER ST
Second Line	:	UNIT 1473
City	:	HOUSTON
State	:	TX
Zip	:	77030-3722
Country	:	US
Telephone Number	:	281-206-4274
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 PRESSLER ST
Second Line	:	UNIT 1473
City	:	HOUSTON
State	:	TX
Zip	:	77030-3722
Country	:	US
Telephone Number	:	281-206-4274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	01/20/2012

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Directions to “ DR. NAVEEN GARG M.D.” Practice Location

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