Provider Demographics
NPI:1518124528
Name:GAMBHIR, PRIYANKA (MD)
Entity Type:Individual
Prefix:DR
First Name:PRIYANKA
Middle Name:
Last Name:GAMBHIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PRIYANKA
Other - Middle Name:
Other - Last Name:KUMARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M/D
Mailing Address - Street 1:32 WASHINGTON ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-3220
Mailing Address - Country:US
Mailing Address - Phone:201-696-1880
Mailing Address - Fax:801-618-4476
Practice Address - Street 1:32 WASHINGTON ST, SUTIE 2A
Practice Address - Street 2:
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670
Practice Address - Country:US
Practice Address - Phone:201-696-1880
Practice Address - Fax:801-618-4476
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08650900207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine