MEDICARE: TARSEM C. GARG, 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	207X00000X	Orthopaedic Surgery Physician

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922158682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TARSEM C. GARG, MD, INC

Provider Business Mailing Address
First Line	:	1929 E HIGH ST
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45505
Country	:	US
Telephone Number	:	937-328-2329
Fax Number	:	937-328-2393

Provider Business Practice Location Address
First Line	:	1929 E HIGH ST
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45505-1227
Country	:	US
Telephone Number	:	937-328-2329
Fax Number	:	937-328-2393

Authorized Official
Title or Position	:	OWNER
Name	:	TARSEM C GARG
Credential	:	MD
Telephone Number	:	937-328-2329

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	07/19/2011

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