Individual
SHAMILA GARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 E DAY RD, MISHAWAKA, IN 46545-3455
(574) 204-7260
(574) 204-7261
Mailing address
301 E DAY RD, MISHAWAKA, IN 46545-3455
(574) 204-7260
(574) 204-7261
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01078317A
IN
207RH0003X
Hematology & Oncology Physician
0430931
KS
207RH0003X
Hematology & Oncology Physician
2001025565
MO
207RH0003X
Hematology & Oncology Physician
257793
NY
207RH0003X
Hematology & Oncology Physician
27442
NE
207RH0003X
Hematology & Oncology Physician
MD440186
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03236275
—
NY
05
—
1024963730001
—
PA
05
—
300006950
—
IN
01
—
7190594
AETNA
—
Enumeration date
06/06/2006
Last updated
03/30/2018
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