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NPI Code Detail

MEDICARE: RUCHI GARG DO PLLC

MEDICARE: RUCHI GARG DO PLLC
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
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1649966375
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUCHI GARG DO PLLC
Provider Business Mailing Address
First Line : 10992 SUN GARDEN DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-9133
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2496 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2179
Country : US
Telephone Number : 702-310-3720
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RUCHI GARG
Credential : DO
Telephone Number : 702-310-3720
Provider Enumeration Date : 04/14/2023
Last Update Date : 10/15/2023

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