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NPI Code Detail

MEDICARE: DR. DINA GAD MD

MEDICARE: DR. DINA GAD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician280738NY

General Provider Information

NPI Number : 1053343053
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DINA GAD MD
Provider Business Mailing Address
First Line : 123 W 86TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10024-3419
Country : US
Telephone Number : 212-877-2833
Fax Number :
Provider Business Practice Location Address
First Line : 123 W 86TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10024-3419
Country : US
Telephone Number : 212-877-2833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 03/10/2016

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