| Kabul S. Garg MD LLC | |
|
666 George St New Haven CT 06511-5322 | |
| (203) 624-7635 | |
| (203) 624-5662 |
| Full Name | Kabul S. Garg MD LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 666 George St, New Haven, Connecticut |
| Authorized Official Name and Position | Kabul S Garg (OWNER) |
| Authorized Official Contact | 2036247635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kabul S. Garg MD LLC 666 George St New Haven CT 06511-5322 Ph: (203) 624-7635 | Kabul S. Garg MD LLC 666 George St New Haven CT 06511-5322 Ph: (203) 624-7635 |
| NPI Number | 1205100559 |
|---|---|
| Provider Enumeration Date | 03/05/2012 |
| Last Update Date | 03/05/2012 |
| Medicare PECOS PAC ID | 7012176274 |
|---|---|
| Medicare Enrollment ID | O20120307000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205100559 | NPI | - | NPPES |
| 022368 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 022368 (Connecticut) | Primary |
| Provider Name | Kabul S Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316962236 PECOS PAC ID: 5698776664 Enrollment ID: I20070118000490 |
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