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NPI Code Detail

MEDICARE: ANUP R GHEEWALA MD

MEDICARE:   ANUP R GHEEWALA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12082S0105XSurgery of the Hand (Plastic Surgery) Physician1762401NY

General Provider Information

NPI Number : 1811986458
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANUP R GHEEWALA MD
Provider Business Mailing Address
First Line : 2818 OCEAN AVE
Second Line : SUITE#7
City : BROOKLYN
State : NY
Zip : 11235-3170
Country : US
Telephone Number : 718-616-2330
Fax Number : 718-332-2923
Provider Business Practice Location Address
First Line : 2818 OCEAN AVE
Second Line : SUITE#7
City : BROOKLYN
State : NY
Zip : 11235-3170
Country : US
Telephone Number : 718-616-2330
Fax Number : 718-332-2923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 04/08/2010

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Directions to “ ANUP R GHEEWALA MD” Practice Location

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