Provider Demographics
NPI:1366266967
Name:GARG, RISHIKA (BS)
Entity type:Individual
Prefix:
First Name:RISHIKA
Middle Name:
Last Name:GARG
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8829 CALLE PERICO
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2172
Mailing Address - Country:US
Mailing Address - Phone:858-603-3028
Mailing Address - Fax:
Practice Address - Street 1:8829 CALLE PERICO
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-2172
Practice Address - Country:US
Practice Address - Phone:858-603-3028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program