Healthcare Provider Details

I. General information

NPI: 1316883838
Provider Name (Legal Business Name): EVA GARG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44405 WOODARD AVENUE, TRINITY HEALTH OAKLAND GRADUATE MEDICAL EDUCATION DEPT.
PONTIAC MI
48341
US

IV. Provider business mailing address

44405 WOODARD AVENUE, TRINITY HEALTH OAKLAND GRADUATE MEDICAL EDUCATION DEPT.
PONTIAC MI
48341
US

V. Phone/Fax

Practice location:
  • Phone: 248-858-6233
  • Fax: 248-858-3244
Mailing address:
  • Phone:
  • Fax: 248-858-3244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: