Provider Demographics
NPI:1376706531
Name:GEHLOT, UPENDER (MD)
Entity Type:Individual
Prefix:DR
First Name:UPENDER
Middle Name:
Last Name:GEHLOT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 BENEDICT AVE STE C
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-2712
Mailing Address - Country:US
Mailing Address - Phone:419-668-0311
Mailing Address - Fax:419-668-0312
Practice Address - Street 1:282 BENEDICT AVE STE C
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-2712
Practice Address - Country:US
Practice Address - Phone:419-668-0311
Practice Address - Fax:419-668-0312
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE259322084P0800X
OH992912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry