Healthcare Provider Details

I. General information

NPI: 1518223411
Provider Name (Legal Business Name): AKSHAY GARG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2012
Last Update Date: 06/10/2022
Certification Date: 06/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3204 TOWER OAKS BLVD STE 440
ROCKVILLE MD
20852-4250
US

IV. Provider business mailing address

9006 EWING DR
BETHESDA MD
20817-3358
US

V. Phone/Fax

Practice location:
  • Phone: 301-841-6600
  • Fax: 301-841-6500
Mailing address:
  • Phone: 443-851-5937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMD047429
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number77739
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberD89248
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: