Basic Information
| Provider Information | |||||||||
| NPI: | 1003298670 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARGYA | ||||||||
| FirstName: | AKSHAT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3401 N BROAD ST | ||||||||
| Address2: | DEPARTMENT OF ANESTHESIOLOGY TEMPLE UNIVERSITY HOSPITAL | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191405103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8476604085 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3401 N BROAD ST | ||||||||
| Address2: | DEPARTMENT OF ANESTHESIOLOGY TEMPLE UNIVERSITY HOSPITAL | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191405103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8476604085 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2015 | ||||||||
| LastUpdateDate: | 05/04/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 298208 | NY | N | Allopathic & Osteopathic Physicians | Anesthesiology | 208600000X | R75049 | AZ | N | Allopathic & Osteopathic Physicians | Surgery | 207L00000X | MT211937 | PA | Y | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 042.0014635 | VT | N | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.