Healthcare Provider Details

I. General information

NPI: 1770817744
Provider Name (Legal Business Name): AMARINDER SINGH GARCHA MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: AMAR S GARCHA M.D.

II. Dates (important events)

Enumeration Date: 09/23/2009
Last Update Date: 06/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

568 E HERNDON AVE STE 201
FRESNO CA
93720-2989
US

IV. Provider business mailing address

568 E HERNDON AVE STE 201
FRESNO CA
93720-2989
US

V. Phone/Fax

Practice location:
  • Phone: 559-228-6600
  • Fax: 559-226-3709
Mailing address:
  • Phone: 559-228-6600
  • Fax: 559-226-3709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA152511
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number27912
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: