Provider Demographics
NPI:1346577640
Name:GARG, ANUREET K (DO)
Entity Type:Individual
Prefix:DR
First Name:ANUREET
Middle Name:K
Last Name:GARG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ANUREET
Other - Middle Name:K
Other - Last Name:BRAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:4201 ST. ANTOINE UHC 5D MAILBOX# 226
Mailing Address - Street 2:UNIVERSITY PEDIATRICIANS
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-966-5051
Mailing Address - Fax:313-966-0665
Practice Address - Street 1:3950 BEAUBIEN
Practice Address - Street 2:CHILDREN'S HOSPITAL OF MI/SPECIALTY CENTER
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-832-8871
Practice Address - Fax:313-966-7445
Is Sole Proprietor?:No
Enumeration Date:2009-11-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101018170207R00000X
TXP7077208100000X
MI5315079134208100000X
FLOS125022081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHU601ZMedicare UPIN