Basic Information
Provider Information
NPI: 1841466471
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARG
FirstName: ANUJA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 280 CHESTNUT STREET
Address2: 2ND FLOOR
City: SPRINGFIELD
State: MA
PostalCode: 01199
CountryCode: US
TelephoneNumber: 4137945700
FaxNumber:  
Practice Location
Address1: 5925 W LAS POSITAS BLVD
Address2:  
City: PLEASANTON
State: CA
PostalCode: 945888537
CountryCode: US
TelephoneNumber: 9254621755
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/04/2008
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X239607MAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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