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Contact Information

MUKESH GARG, MD
2349 LAKE AVE STE 99
PLYMOUTH, IN46563
 Phone: 574-948-5340
 Fax: 574-948-5494
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MUKESH GARG · (Male)

NPI Number 1679540991
Status Active
Credentials MD
Entity Individual
Enumeration date 03/06/2006
Last updated 06/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 27641
  • IN Medicaid 300004401
  • IN Other IN1041053 MEDICARE
  • IN Other P02006928 RAIL ROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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