Healthcare Provider Details

I. General information

NPI: 1902153372
Provider Name (Legal Business Name): HARVIR SINGH GAMBHIR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2012
Last Update Date: 11/28/2022
Certification Date: 11/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E ADAMS ST
SYRACUSE NY
13210-2342
US

IV. Provider business mailing address

750 E ADAMS ST
SYRACUSE NY
13210-2342
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-5240
  • Fax: 315-464-3751
Mailing address:
  • Phone: 315-464-5240
  • Fax: 315-464-3751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number284919
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: