MR. MUKESH GARG (NPI# 1679540991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679540991 |
| Entity Type | Individual |
| Full Name | MR. MUKESH GARG |
| Credential | M.D. |
| Practice Address |
2349 Lake Ave Ste 99 Plymouth IN 46563 |
| Mailing Address |
707 Cedar St Ste 200 South Bend IN 46617-2057 |
| Practice Telephone | 5749485340 |
| Practice Fax Number | 5749485494 |
| Mailing Telephone | 5743358700 |
| Mailing Fax Number | 5743350760 |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2018-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
27641 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE | IN1041053 | 01 |
| IN | 300004401 | 05 | |
| IN | RAIL ROAD MEDICARE | P02006928 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2115 N Kansas Ave, Suite 102, Hastings, NE 689012640 | 4028342020 | 4028342021 |
| 616 E 13th St, Winamac, IN 469961117 | 5749485340 | 5749485494 |
| Street Address |
2349 LAKE AVE STE 99 |
| City | PLYMOUTH |
| State | IN |
| Zip Code | 46563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547748 | Steven N Wolff | Pharmacist | Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 | 2019-09-12 |
| 1295280923 | Multi-county Ems LLC | Ambulance | 5034 Redwood Road, Plymouth, IN 46563 | 2016-08-23 |
| 1356473060 | Donna Michelle Eggers | Speech-Language Pathologist | 1915 Lake Avenue, Plymouth, IN 46563 | 2007-03-09 |
| 1629103684 | Marshall County Council On Aging | Home Delivered Meals | 1305 W Harrison Street, Plymouth, IN 46563 | 2007-02-22 |
| 1063561272 | Associates In Clinical Psychology PC | Psychiatric Residential Treatment Facility | 317 West Monroe St, Plymouth, IN 46563 | 2007-01-09 |
| 1316005911 | Michiana Eye Center LLC | Optometrist | 320 Meadow Ln, Plymouth, IN 46563 | 2006-12-05 |
| 1487722948 | Allen Edward Reese | Hearing Instrument Specialist | 322 N. Michigan St., Suite C, Plymouth, IN 46563 | 2006-12-01 |
| 1508932252 | Thomas A Miller | Chiropractor | 1071 Lincolnway E, Plymouth, IN 46563 | 2006-11-27 |
| 1982686242 | Woodlawn Hospital | Skilled Nursing Facility | 9601 Union Rd, Plymouth, IN 46563 | 2005-11-14 |
| 1144229121 | Michele A Schricker | Social Worker | 990 Illinois St, Plymouth, IN 46563 | 2005-07-20 |
| Find all providers in zip 46563 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710203385 | Khyati Haresh Baxi | Internal Medicine | 45 Resnik Rd Ste 202, Plymouth, MA 02360-4844 | 2010-04-08 |
| 1922030469 | Stephen J Doctoroff | Internal Medicine | 23 Fore Ct, Plymouth, MA 02360-8007 | 2006-07-07 |
| 1598700122 | Rajindra Kumar Sarin | Internal Medicine | 2349 Lake Ave Ste 201, Plymouth, IN 46563-7837 | 2006-06-18 |
| 1205876737 | Robert A Scarlatelli | Internal Medicine | 30 Resnik Rd, Plymouth, MA 02360 | 2006-06-06 |
| 1265436208 | Lorenz B Cueni | Internal Medicine | 147 Court Street, Plymouth, MA 02360 | 2005-06-08 |
| 1225582406 | Apex Cardiology, PC | Internal Medicine | 45 Resnik Rd, Suite 202, Plymouth, MA 02360-4844 | 2016-08-05 |
| 1548521701 | Resnik Medical Associates PC | Internal Medicine | 45 Resnik Rd, Plymouth, MA 02360-4844 | 2012-06-05 |
| 1215233341 | Robert Scarlatelli,m.d.,llc | Internal Medicine | 30 Resnik Rd, Lower Level, Plymouth, MA 02360-7211 | 2011-02-08 |
| 1417111303 | Monali Desai | Internal Medicine | 2349 Lake Ave, Suite 99, Plymouth, IN 46563-7835 | 2008-07-10 |
| 1225141500 | Robert E Olson | Internal Medicine | 110 Long Pond Rd, Suite 212, Plymouth, MA 02360-2642 | 2006-08-17 |
| Find all providers in PLYMOUTH | ||||
Please comment or provide details below to improve the information on MR. MUKESH GARG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.