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NPI Code Detail

MEDICARE: INDU GARG MD

MEDICARE: INDU GARG MD
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
1208100000XPhysical Medicine & Rehabilitation Physician1724459NY

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 : 1710973847
Entity Type Code : Individual
Provider Name (Legal Business Name) : INDU GARG MD
Provider Business Mailing Address
First Line : 15 QUAIL RUN
Second Line :
City : OLD WESTBURY
State : NY
Zip : 11568-1044
Country : US
Telephone Number : 415-515-9800
Fax Number : 718-231-7942
Provider Business Practice Location Address
First Line : 2705 WILLIAMSBRIDGE RD
Second Line :
City : BRONX
State : NY
Zip : 10469-4109
Country : US
Telephone Number : 718-515-9800
Fax Number : 718-231-7942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 07/08/2007

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Directions to “ INDU GARG MD” Practice Location

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