Individual
DEEPANSHU GARG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 N LITCHFIELD RD STE 110, GOODYEAR, AZ 85395-1228
(623) 935-9494
(623) 935-9292
Mailing address
1325 N LITCHFIELD RD STE 110, GOODYEAR, AZ 85395-1228
(623) 935-9494
(623) 935-9292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35990
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166811
—
AZ
01
—
264691812
TAX ID
AZ
01
—
8V3726
BCBS
TX
01
—
P00382501
RR MEDICARE
TX
Enumeration date
09/20/2006
Last updated
06/19/2024
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