Provider Demographics
NPI:1710621172
Name:GARNETT, ANDREW UJAY
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:UJAY
Last Name:GARNETT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3722 MORNING RD APT D
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-7710
Mailing Address - Country:US
Mailing Address - Phone:608-239-7434
Mailing Address - Fax:
Practice Address - Street 1:3722 MORNING RD APT D
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-7710
Practice Address - Country:US
Practice Address - Phone:608-239-7434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)