Healthcare Provider Details

I. General information

NPI: 1750349379
Provider Name (Legal Business Name): GORDAN N. KUHAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 02/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 ROUTE 50
SARATOGA SPRINGS NY
12866-2958
US

IV. Provider business mailing address

3050 ROUTE 50
SARATOGA SPRINGS NY
12866-2958
US

V. Phone/Fax

Practice location:
  • Phone: 518-886-5108
  • Fax: 518-886-5857
Mailing address:
  • Phone: 518-886-5108
  • Fax: 518-886-5857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number77146
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number175349-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number175349-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: