Provider Demographics
NPI:1841466471
Name:GARG, ANUJA (MD)
Entity type:Individual
Prefix:
First Name:ANUJA
Middle Name:
Last Name:GARG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5924 STONERIDGE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-5400
Mailing Address - Country:US
Mailing Address - Phone:925-263-9547
Mailing Address - Fax:
Practice Address - Street 1:5924 STONERIDGE DR STE 110
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-5400
Practice Address - Country:US
Practice Address - Phone:925-263-9547
Practice Address - Fax:925-247-1576
Is Sole Proprietor?:No
Enumeration Date:2008-05-04
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA239607207R00000X
CAA108416207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine