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NPI Code Detail

MEDICARE: DR. INDERDEEP GAKHAL MD

MEDICARE: DR. INDERDEEP GAKHAL 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 Physician329706LA

General Provider Information

NPI Number : 1518454024
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. INDERDEEP GAKHAL MD
Provider Business Mailing Address
First Line : 8157 259TH ST
Second Line :
City : FLORAL PARK
State : NY
Zip : 11004-1447
Country : US
Telephone Number : 516-859-8595
Fax Number :
Provider Business Practice Location Address
First Line : 1401 FOUCHER ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-3593
Country : US
Telephone Number : 504-897-7011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2018
Last Update Date : 02/07/2022

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