Kenneth J Gargan, MD
Radiology, Diagnostic Radiology in Smyrna, GA. Individual provider (NPI-1).
NPI number1154375079
StatusActive
Last updated in NPPESJul 10, 2008
Details
- NPI
- 1154375079
- Entity type
- Individual (NPI-1)
- Name
- Kenneth J Gargan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2006
- Last updated
- Jul 10, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 055363 | GA | Yes |
Practice location
3949 S Cobb Dr SeSmyrna, GA 30080-6342
Phone 770-434-0710
Mailing address
Po Box 2994Kennesaw, GA 30156-9181
Phone 770-779-2171
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