Provider Demographics
NPI:1891795993
Name:GARG, ASHOK (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHOK
Middle Name:
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 1:5006 E CANNON DR
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-1062
Mailing Address - Country:US
Mailing Address - Phone:480-289-8759
Mailing Address - Fax:602-482-0210
Practice Address - Street 1:4550 E BELL RD STE 158
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-9382
Practice Address - Country:US
Practice Address - Phone:602-923-2222
Practice Address - Fax:602-482-0210
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27507207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1053547331OtherGROUP NPI
AZ511768Medicaid
AZZ62031Medicare PIN
AZZ62894Medicare PIN
AZ110208937Medicare PIN
H17740Medicare UPIN
AZZ62032Medicare PIN
AZ1053547331OtherGROUP NPI