Provider Demographics
NPI:1215018643
Name:GARG, MADHUR K (MD)
Entity Type:Individual
Prefix:
First Name:MADHUR
Middle Name:K
Last Name:GARG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:31 SHELDON ST
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-2504
Mailing Address - Country:US
Mailing Address - Phone:718-920-4140
Mailing Address - Fax:718-231-5064
Practice Address - Street 1:MMC - RADIATION ONCOLOGY
Practice Address - Street 2:111 EAST 210TH STREET
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-920-4140
Practice Address - Fax:718-231-5064
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2419462085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology