Garg, Sanjay K

Garg, Sanjay K is an individual health care provider with primary practice located at 116 W Buchanan Ave , Charleston IL 61920-2522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Garg, Sanjay K can be contacted via phone (217) 345-7700.

Contact Information

Primary practice address
116 W Buchanan Ave Charleston IL 61920-2522
Phone: (217) 345-7700
Fax: (217) 345-7200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01058382A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036095041 Illinois

Profile Details

NPI number 1679594055
LBN Legal business name Garg, Sanjay K
Credentials M.B.B.S
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679594055 NPPES
Indiana MEDICAID 200465180

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