Individual
DR. SANDEEP GARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11000 SW STRATUS ST STE 305, BEAVERTON, OR 97008-7113
(503) 692-0405
(503) 692-7978
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD20499
OR
207RC0000X
Cardiovascular Disease Physician
Primary
MD20499
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150287
—
OR
05
—
2022549
—
WA
01
—
804330006
BLUE CROSS BLUE SHIELD
OR
Enumeration date
06/16/2005
Last updated
05/15/2026
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