Provider Demographics
NPI:1306865571
Name:GADHVI, PRAGNESH H (MD)
Entity Type:Individual
Prefix:
First Name:PRAGNESH
Middle Name:H
Last Name:GADHVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:353 E 17TH ST
Mailing Address - Street 2:UNIT 19B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3821
Mailing Address - Country:US
Mailing Address - Phone:212-434-2606
Mailing Address - Fax:646-414-1363
Practice Address - Street 1:PRAGNESH GADHVI BARNABAS HEALTH MEDICAL GROUP
Practice Address - Street 2:500 SUMMIT AVENUE
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-0708
Practice Address - Country:US
Practice Address - Phone:201-792-1600
Practice Address - Fax:201-499-7651
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08262000207RC0000X, 207RI0011X
NY233104-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2738705Medicaid
NYH61124Medicare UPIN
NY661Q41Medicare ID - Type Unspecified