Individual
ISHAN GARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-3300
Mailing address
331 MARKET ST E APT 154, GAITHERSBURG, MD 20878-6410
(124) 883-5533
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H0098161
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H0098161
MARYLAND MEDICAL LICENSE
MD
01
—
OT018848
STATE BOARD OF OSTEOPATHIC MEDICINE
PA
Enumeration date
06/28/2018
Last updated
09/21/2023
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