Mukul Garg MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME 0047738 Issued in FL

Legal business name

MUKUL GARG MD PA

Practice address

875 Sterthaus Ave
Ormond Beach, FL 32174-5131

Phone

(386) 676-6000

NPI assigned

Jul 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mukul Garg, MD PA

Title

MD PA

Phone

(386) 676-4419

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1932362787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1917",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321751917",
            "telephone_number": "386-676-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 STERTHAUS AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745131",
            "telephone_number": "386-676-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKUL GARG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "MUKUL",
        "authorized_official_title_or_position": "MD PA",
        "authorized_official_telephone_number": "386-676-4419",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 0047738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047843100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.