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NPI Code Detail

MEDICARE: DR. URMILA NANDKISHOR GUJRATHI M.D.

MEDICARE:  DR. URMILA NANDKISHOR GUJRATHI  M.D.
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
1208000000XPediatrics PhysicianMD032656LPA

General Provider Information

NPI Number : 1912952789
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. URMILA NANDKISHOR GUJRATHI M.D.
Provider Business Mailing Address
First Line : 1763 FIRESIDE LN
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-3237
Country : US
Telephone Number : 856-795-9169
Fax Number :
Provider Business Practice Location Address
First Line : 4510 FRANKFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19124-3602
Country : US
Telephone Number : 215-744-1302
Fax Number : 215-744-2455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 11/06/2012

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Directions to “ DR. URMILA NANDKISHOR GUJRATHI M.D.” Practice Location

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