Provider Demographics
NPI:1407865793
Name:GHARPURE, VISHWANATH S (MD)
Entity Type:Individual
Prefix:
First Name:VISHWANATH
Middle Name:S
Last Name:GHARPURE
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 1:14 BLOSSOM HILL DR
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-3124
Mailing Address - Country:US
Mailing Address - Phone:609-436-0363
Mailing Address - Fax:
Practice Address - Street 1:14 BLOSSOM HILL DRIVE
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-3124
Practice Address - Country:US
Practice Address - Phone:609-436-0363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD067454L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA026844D92Medicare ID - Type Unspecified
PAF87293Medicare UPIN