Provider Demographics
NPI:1720276611
Name:GARG, SARLA (MD,)
Entity Type:Individual
Prefix:DR
First Name:SARLA
Middle Name:
Last Name:GARG
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 TWIN PONDS DR
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-1037
Mailing Address - Country:US
Mailing Address - Phone:585-352-6307
Mailing Address - Fax:585-352-6308
Practice Address - Street 1:22 TWIN PONDS DR
Practice Address - Street 2:
Practice Address - City:SPENCERPORT
Practice Address - State:NY
Practice Address - Zip Code:14559-1037
Practice Address - Country:US
Practice Address - Phone:585-352-6307
Practice Address - Fax:585-352-6308
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY113423207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00458668Medicaid
AA1136Medicare PIN
D01701Medicare UPIN