Garg, Purushottam K.

Garg, Purushottam K. is an individual health care provider with primary practice located at 5553 Highway 90 , Pace FL 32571-1540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Garg, Purushottam K. can be contacted via phone (850) 995-8811.

Contact Information

Primary practice address
5553 Highway 90 Pace FL 32571-1540
Phone: (850) 995-8811
Fax: (850) 995-8810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME68880 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.30109 Alabama

Profile Details

NPI number 1578549085
LBN Legal business name Garg, Purushottam K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Aug 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578549085 NPPES
Other 080125539 MEDICARE RAILROAD
Other 591-58026 MEDICARE RAILROAD
Other 591-95710 MEDICARE RAILROAD
Other 591-58027 MEDICARE RAILROAD
MEDICAID 37816820 MEDICARE RAILROAD
Other 27429 MEDICARE RAILROAD

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