Provider Demographics
NPI:1447740832
Name:KHUSHWINDER S GARCHA MD, INC
Entity Type:Organization
Organization Name:KHUSHWINDER S GARCHA MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KHUSHWINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-803-5991
Mailing Address - Street 1:PO BOX 2997
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-2997
Mailing Address - Country:US
Mailing Address - Phone:716-803-5991
Mailing Address - Fax:573-250-7113
Practice Address - Street 1:8706 MAPLE HOLLOW CT
Practice Address - Street 2:
Practice Address - City:GRANITE BAY
Practice Address - State:CA
Practice Address - Zip Code:95746-6158
Practice Address - Country:US
Practice Address - Phone:716-803-5991
Practice Address - Fax:573-250-7113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-11
Last Update Date:2018-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty