| Kshama Garg | |
|
13332 Deerbrook Dr Potomac MD 20854-6367 | |
| (240) 644-4042 | |
| (301) 337-6259 |
| Full Name | Kshama Garg |
|---|---|
| Speciality | Internal Medicine |
| Location | 13332 Deerbrook Dr, Potomac, Maryland |
| Authorized Official Name and Position | Kshama Garg (PRESIDENT) |
| Authorized Official Contact | 2406444042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kshama Garg 13332 Deerbrook Dr Potomac MD 20854-6367 Ph: (240) 644-4042 | Kshama Garg 13332 Deerbrook Dr Potomac MD 20854-6367 Ph: (240) 644-4042 |
| NPI Number | 1841744737 |
|---|---|
| Provider Enumeration Date | 08/08/2016 |
| Last Update Date | 08/17/2016 |
| Medicare PECOS PAC ID | 0749578383 |
|---|---|
| Medicare Enrollment ID | O20161013001548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841744737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0060826 (Maryland) | Primary |
| Provider Name | Kshama Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295806511 PECOS PAC ID: 9133020282 Enrollment ID: I20041110000173 |
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