Healthcare Provider Details

I. General information

NPI: 1447200183
Provider Name (Legal Business Name): RAMESH GIHWALA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 05/07/2020
Certification Date: 05/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

991 W HUDSON BLVD
GASTONIA NC
28052-6430
US

IV. Provider business mailing address

825 MAJESTIC CT
GASTONIA NC
28054-5186
US

V. Phone/Fax

Practice location:
  • Phone: 704-853-5294
  • Fax:
Mailing address:
  • Phone: 704-853-5294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number9300472
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: