Provider Demographics
NPI:1487769105
Name:SEEMA GARCHA MD PA
Entity type:Organization
Organization Name:SEEMA GARCHA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-696-0095
Mailing Address - Street 1:162 MONTIBELLO DR
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9134
Mailing Address - Country:US
Mailing Address - Phone:704-696-0095
Mailing Address - Fax:704-696-0095
Practice Address - Street 1:218 OLD MOCKSVILLE RD
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28625-1930
Practice Address - Country:US
Practice Address - Phone:704-873-0281
Practice Address - Fax:704-838-7287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891324CMedicaid
NC801808OtherPARTNERS
NC1324COtherBCBS OF NC
NC1324COtherBCBS OF NC
NC891324CMedicaid
NC=========OtherRAILROAD MEDICARE
NC2334723Medicare ID - Type UnspecifiedMEDICARE