Healthcare Provider Details

I. General information

NPI: 1932463486
Provider Name (Legal Business Name): SHILPI GARG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2012
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 KIRMAN AVE STE 401
RENO NV
89502-1360
US

IV. Provider business mailing address

3131 LA CANADA ST STE 231
LAS VEGAS NV
89169-2579
US

V. Phone/Fax

Practice location:
  • Phone: 775-324-6644
  • Fax: 702-260-1926
Mailing address:
  • Phone: 702-732-1290
  • Fax: 702-260-1926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberMD173634
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: