Provider Demographics
NPI:1922158682
Name:TARSEM C. GARG, MD, INC
Entity Type:Organization
Organization Name:TARSEM C. GARG, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARSEM
Authorized Official - Middle Name:C
Authorized Official - Last Name:GARG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-328-2329
Mailing Address - Street 1:1929 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45505
Mailing Address - Country:US
Mailing Address - Phone:937-328-2329
Mailing Address - Fax:937-328-2393
Practice Address - Street 1:1929 E HIGH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45505-1227
Practice Address - Country:US
Practice Address - Phone:937-328-2329
Practice Address - Fax:937-328-2393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0296924Medicaid
OH3102190Medicaid
OH0271270001Medicare NSC
OH4281711Medicare Oscar/Certification
OH0296924Medicaid
OH0417803Medicare Oscar/Certification