NITIN GARG MBBS NPI 1891914206

NPI Information

NPI: 1891914206
Provider Name: NITIN GARG, MBBS
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
10825 W MCDOWELL RD
SUITE 310
AVONDALE, AZ
ZIP 85392
Phone: (602) 641-9486
Get Directions

Nitin Garg, MBBS is a vascular surgery surgery in Avondale, AZ with 22 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Nitin Garg, MBBS NPI is 1891914206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10825 W MCDOWELL RD
SUITE 310
AVONDALE, AZ
ZIP 85392
Phone: (602) 641-9486
Fax: (480) 500-8430

The NPI 1891914206 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 3/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		4967	NEBRASKA	No
2	2086S0129X	Surgery	Vascular Surgery	34014	SOUTH CAROLINA	No
3	2086S0129X	Surgery	Vascular Surgery	52443	MINNESOTA	No
4	2086S0129X	Surgery	Vascular Surgery	30039	NEBRASKA	No
5	390200000X	Student in an Organized Health Care Education/Training Program				No
6	2086S0129X	Surgery	Vascular Surgery	59413	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ENROLLED	MEDICAID	MINNESOTA
2	340143	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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