MEDICARE: ANUJA 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
1	207R00000X	Internal Medicine Physician	239607	MA
2	207R00000X	Internal Medicine Physician	A108416	CA

General Provider Information

NPI Number	:	1841466471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANUJA GARG MD

Provider Business Mailing Address
First Line	:	5924 STONERIDGE DR STE 110
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94588-5400
Country	:	US
Telephone Number	:	925-263-9547
Fax Number	:

Provider Business Practice Location Address
First Line	:	5924 STONERIDGE DR STE 110
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94588-5400
Country	:	US
Telephone Number	:	925-263-9547
Fax Number	:	925-247-1576

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

Provider Enumeration Date	:	05/04/2008
Last Update Date	:	05/09/2024

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