MEDICARE: DR. RICHA GARG 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
1	207Q00000X	Family Medicine Physician	125-063338	IL
2	207Q00000X	Family Medicine Physician	54895	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1487096459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHA GARG M.D.

Provider Business Mailing Address
First Line	:	2000 MALLORY LN STE 130-334
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-8209
Country	:	US
Telephone Number	:	513-373-6538
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 MALLORY LN STE 130-334
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-8209
Country	:	US
Telephone Number	:	513-373-6538
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2013
Last Update Date	:	12/13/2022

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