Provider Demographics
NPI:1184731838
Name:GARCHA, TRISHWANT SINGH (MD)
Entity type:Individual
Prefix:
First Name:TRISHWANT
Middle Name:SINGH
Last Name:GARCHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:164 GALWAY DR APT 106
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-7127
Mailing Address - Country:US
Mailing Address - Phone:704-924-7575
Mailing Address - Fax:704-924-7877
Practice Address - Street 1:750 HARTNESS RD STE E
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-3400
Practice Address - Country:US
Practice Address - Phone:704-924-7575
Practice Address - Fax:704-924-7877
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2000011342084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5274050OtherAETNA
NCP00055535OtherRAILROAD MEDICARE
NC127CKOtherBCBS OF NC
NCC6714OtherMEDCOST
NC89127CKMedicaid
NC40763OtherPARTNERS
NC40763OtherPARTNERS
NCC6714OtherMEDCOST
NC89127CKMedicaid