Provider Demographics
NPI:1174775951
Name:GARG, VIKAS (MD)
Entity type:Individual
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First Name:VIKAS
Middle Name:
Last Name:GARG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2801 NW MERCY DR STE 340
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-2348
Mailing Address - Country:US
Mailing Address - Phone:541-677-4319
Mailing Address - Fax:541-677-2294
Practice Address - Street 1:2510 NW EDENBOWER BLVD STE 112
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-8899
Practice Address - Country:US
Practice Address - Phone:541-464-6260
Practice Address - Fax:541-229-0014
Is Sole Proprietor?:No
Enumeration Date:2008-10-13
Last Update Date:2018-03-17
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Provider Licenses
StateLicense IDTaxonomies
ORMD166874207RG0100X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology