Provider Demographics
NPI:1538358999
Name:KARNGA, YEARGAR GROGRO I (CNP)
Entity type:Individual
Prefix:MR
First Name:YEARGAR
Middle Name:GROGRO
Last Name:KARNGA
Suffix:I
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1626 DREAM CT
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-1576
Mailing Address - Country:US
Mailing Address - Phone:614-626-4250
Mailing Address - Fax:
Practice Address - Street 1:1626 DREAM CT
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-1576
Practice Address - Country:US
Practice Address - Phone:614-626-4250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN122155164W00000X
OHCNP0027799363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1538358999OtherMENTAL HEALTH NURSE PRACTITIONER