| Sanjeev Garg Llc | |
|
517 Pierce St Kingston PA 18704-5756 | |
| (570) 763-4690 | |
| Not Available |
| Full Name | Sanjeev Garg Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 517 Pierce St, Kingston, Pennsylvania |
| Authorized Official Name and Position | Sangeev Garg (SOLE MEMBER) |
| Authorized Official Contact | 5707634690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjeev Garg Llc 517 Pierce St Kingston PA 18704-5756 Ph: (570) 763-4690 | Sanjeev Garg Llc 517 Pierce St Kingston PA 18704-5756 Ph: (570) 763-4690 |
| NPI Number | 1710487764 |
|---|---|
| Provider Enumeration Date | 02/16/2018 |
| Last Update Date | 04/09/2020 |
| Certification Date | 04/09/2020 |
| Medicare PECOS PAC ID | 8921360595 |
|---|---|
| Medicare Enrollment ID | O20180319001697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710487764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Sanjeev Garg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790728574 PECOS PAC ID: 0143206631 Enrollment ID: I20040625000535 |
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