Healthcare Provider Details

I. General information

NPI: 1720493794
Provider Name (Legal Business Name): MOHIT GARG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2014
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE
ROCHESTER NY
14642-2913
US

IV. Provider business mailing address

92 WESTFALL RD
ROCHESTER NY
14620-4632
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-2141
  • Fax:
Mailing address:
  • Phone: 347-962-2785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number308141
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: