Provider Demographics
NPI:1407871239
Name:AJIT S. GARCHA, MD, INC
Entity Type:Organization
Organization Name:AJIT S. GARCHA, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AJIT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:GARCHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-241-0374
Mailing Address - Street 1:PO BOX 991270
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96099-1270
Mailing Address - Country:US
Mailing Address - Phone:530-241-0374
Mailing Address - Fax:530-241-9065
Practice Address - Street 1:1212 SOUTH ST
Practice Address - Street 2:SUITE A
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1912
Practice Address - Country:US
Practice Address - Phone:530-241-0374
Practice Address - Fax:530-241-9065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88493208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA88493Medicare UPIN
CA00A392730Medicare ID - Type Unspecified