Individual
SHAILESH GARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(224) 578-3006
Mailing address
10764 N 125TH PL, SCOTTSDALE, AZ 85259-5097
(224) 578-3006
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD-42419
IA
2086S0127X
Trauma Surgery Physician
39199
OK
2086S0127X
Trauma Surgery Physician
Primary
FG6111695
AZ
2086S0127X
Trauma Surgery Physician
MD-42419
IA
Other
Enumeration date
06/24/2009
Last updated
10/07/2022
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