Healthcare Provider Details

I. General information

NPI: 1861431744
Provider Name (Legal Business Name): UMESH K GIDWANI MD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 08/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE MOUNT SINAI HOSPITAL 1 GUSTAVE L LEVY PLACE, DEPT. OF CARDIOLOGY
NEW YORK NY
10029-6500
US

IV. Provider business mailing address

1 GUSTAVE L LEVY PL BOX 1030
NEW YORK NY
10029-6500
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-7222
  • Fax: 212-876-1493
Mailing address:
  • Phone: 212-241-7222
  • Fax: 212-876-1493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number185934
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number185934
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number185934
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: