Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A87238 | CA |
NPI | 1013944636 |
---|---|
Provider Name | Anupam Garg |
First Address | San Diego, CA 92127-5705 |
Second Address | San Diego, CA 92103-5910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 02/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I55959 | (02) | CA |