Healthcare Provider Details

I. General information

NPI: 1184914822
Provider Name (Legal Business Name): DEEYA GAINDH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2011
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 GRIDER ST
BUFFALO NY
14215-3021
US

IV. Provider business mailing address

320 HILLSIDE AVE
CHATHAM NJ
07928-1735
US

V. Phone/Fax

Practice location:
  • Phone: 716-898-4226
  • Fax:
Mailing address:
  • Phone: 207-650-9493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number25MA12965000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: