Susheer Gandotra in East Stroudsburg - Infectious Disease

Susheer Gandotra - NPI 1083663694

Susheer Gandotra is a Infectious Disease in East Stroudsburg, Pennsylvania. Susheer Gandotra practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Susheer Gandotra is 1083663694. The last update date is 2010-12-29.

Susheer Gandotra's current location address is 175 E Brown St, East Stroudsburg, Pennsylvania. You can contact this provider via phone number 5704262301 and fax number 5704262306. The mailing address for Susheer Gandotra is 175 E Brown St, East Stroudsburg, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Susheer Gandotra
Address 175 E Brown St, East Stroudsburg, Pennsylvania
Phone Number 5704262301
Fax Number 5704262306
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1083663694
Provider Enumeration Date 2006-05-09
Last Updated Date 2010-12-29

Provider Mailing Address Detail

Address 175 E Brown St
City East Stroudsburg
State Pennsylvania (PA)
Post Code 183013098
Phone Number 5704262301
Fax Number 5704262306

Provider's Primary Taxonomy Detail

Speciality Infectious Disease
Taxonomy 207Ri0200X
Licence No C1-0008498
Definition:
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers whi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1083663694 DE NPI
1021961250001 PA --

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FAQs about Susheer Gandotra

What is the unique 10-digit identifier code issued to Susheer Gandotra by the Centers for Medicare & Medicaid Services?

The Susheer Gandotra has been assigned the NPI (National Provider Identifier) 1083663694 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Susheer Gandotra's facilities are geographically located?

The facilities of Susheer Gandotra are physically situated at the following location: 175 E Brown St, East Stroudsburg, PA, 183013098.

What is Susheer Gandotra's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Susheer Gandotra is Infectious Disease, and the taxonomy code that categorizes this field of expertise is 207Ri0200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1083663694 to Susheer Gandotra?

The Centers for Medicare & Medicaid Services assigned the 1083663694 to Susheer Gandotra on 2006-05-09.

As of what date was the information regarding Susheer Gandotra, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Susheer Gandotra, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-12-29.

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