Healthcare Provider Details

I. General information

NPI: 1649366543
Provider Name (Legal Business Name): ANSHUL V GAMBHIR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CENTRAL PARK S APT 109
NEW YORK NY
10019-1449
US

IV. Provider business mailing address

200 CENTRAL PARK S APT 109
NEW YORK NY
10019-1449
US

V. Phone/Fax

Practice location:
  • Phone: 212-209-5054
  • Fax:
Mailing address:
  • Phone: 212-209-5054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number343858
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: