Provider Demographics
NPI:1609059948
Name:GARG, ASHWANI KUMAR (MD)
Entity Type:Individual
Prefix:
First Name:ASHWANI
Middle Name:KUMAR
Last Name:GARG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2360
Mailing Address - Country:US
Mailing Address - Phone:800-243-1455
Mailing Address - Fax:
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-6585
Practice Address - Fax:717-531-0429
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD443856208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2648344OtherHIGHMARK BLUE SHIELD
PA1600783OtherGATEWAY
PAP011622OtherGATEWAY
PA30134118OtherAMERIHEALTH MERCY - WMG
PA30139603OtherAMERIHEALTH MERCY-THFP
PA417513OtherUPMC
PA102627116Medicaid
PA30139603OtherAMERIHEALTH MERCY-THFP
PA226255Medicare PIN
PA30134118OtherAMERIHEALTH MERCY - WMG