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NPI Code Detail

MEDICARE: RUCHI GARG D.O.

MEDICARE: RUCHI GARG D.O.
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
1208000000XPediatrics Physician1183NV

General Provider Information

NPI Number : 1154314102
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUCHI GARG D.O.
Provider Business Mailing Address
First Line : 3006 S MARYLAND PKWY
Second Line : 505
City : LAS VEGAS
State : NV
Zip : 89109-2218
Country : US
Telephone Number : 702-697-0082
Fax Number : 702-369-5827
Provider Business Practice Location Address
First Line : 3186 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2317
Country : US
Telephone Number : 888-350-2911
Fax Number : 702-369-5827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 07/08/2007

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