1407871239 NPI number — AJIT S. GARCHA, MD, INC

Table of content: (NPI 1407871239)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407871239 NPI number — AJIT S. GARCHA, MD, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AJIT S. GARCHA, MD, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407871239
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 991270
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
REDDING
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
96099-1270
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-241-0374
Provider Business Mailing Address Fax Number:
530-241-9065

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1212 SOUTH ST
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
REDDING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96001-1912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-241-0374
Provider Business Practice Location Address Fax Number:
530-241-9065
Provider Enumeration Date:
07/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GARCHA
Authorized Official First Name:
AJIT
Authorized Official Middle Name:
SINGH
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
530-241-0374

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  A88493 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com