Basic Information
Provider Information
NPI: 1003298670
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARGYA
FirstName: AKSHAT
MiddleName:  
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Credential:  
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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
FaxNumber:  
Practice Location
Address1: 3401 N BROAD ST
Address2: DEPARTMENT OF ANESTHESIOLOGY TEMPLE UNIVERSITY HOSPITAL
City: PHILADELPHIA
State: PA
PostalCode: 191405103
CountryCode: US
TelephoneNumber: 8476604085
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/19/2015
LastUpdateDate: 05/04/2020
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 05/04/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X042.0014635VTN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XMT211937PAY Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X298208NYN Allopathic & Osteopathic PhysiciansAnesthesiology 
208600000XR75049AZN Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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