Healthcare Provider Details

I. General information

NPI: 1083375232
Provider Name (Legal Business Name): SACHY GARG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2022
Last Update Date: 07/27/2022
Certification Date: 07/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3232 13TH ST NW 201
WASHINGTON DC
20010
US

IV. Provider business mailing address

3232 13TH ST NW 201
WASHINGTON DC
20010
US

V. Phone/Fax

Practice location:
  • Phone: 904-525-7767
  • Fax:
Mailing address:
  • Phone: 904-525-7767
  • Fax:

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 State
# 2
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License NumberAA2000019
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: