Basic Information
Provider Information
NPI: 1982982617
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARG
FirstName: MEGHA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SAWHNEY
OtherFirstName: MEGHA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 100 KINGS HIGHWAY SOUTH
Address2: PROVIDER ENROLLMENT
City: ROCHESTER
State: NY
PostalCode: 146175504
CountryCode: US
TelephoneNumber: 5859221304
FaxNumber: 5859221399
Practice Location
Address1: 10 HAGEN DRIVE
Address2: ALLERGY & RHEUMATOLOGY
City: ROCHESTER
State: NY
PostalCode: 14625
CountryCode: US
TelephoneNumber: 5859228350
FaxNumber: 5859228355
Other Information
ProviderEnumerationDate: 07/29/2011
LastUpdateDate: 10/05/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/05/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RR0500X295229NYY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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