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NPI Code Detail

MEDICARE: GARGI DAVDA M.D.

MEDICARE:   GARGI  DAVDA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician01076264AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134540354
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARGI DAVDA M.D.
Provider Business Mailing Address
First Line : 9011 N MERIDIAN ST
Second Line : SUITE 225
City : INDIANAPOLIS
State : IN
Zip : 46260-5378
Country : US
Telephone Number : 317-564-2134
Fax Number : 317-574-4737
Provider Business Practice Location Address
First Line : 960 CHESTER BLVD
Second Line :
City : RICHMOND
State : IN
Zip : 47374-2317
Country : US
Telephone Number : 765-962-4735
Fax Number : 765-939-0035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2013
Last Update Date : 03/06/2017

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Directions to “ GARGI DAVDA M.D.” Practice Location

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