Provider Demographics
NPI:1548210024
Name:ABDULHAY, GAZI (MD)
Entity Type:Individual
Prefix:MR
First Name:GAZI
Middle Name:
Last Name:ABDULHAY
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 1:1 MEDICAL CENTER BLVD
Mailing Address - Street 2:CANCER CENTER, SUITE 441
Mailing Address - City:UPLAND
Mailing Address - State:PA
Mailing Address - Zip Code:19013
Mailing Address - Country:US
Mailing Address - Phone:610-876-9640
Mailing Address - Fax:610-876-1881
Practice Address - Street 1:1 MEDICAL CENTER BLVD
Practice Address - Street 2:CANCER CENTER, SUITE 441
Practice Address - City:UPLAND
Practice Address - State:PA
Practice Address - Zip Code:19013
Practice Address - Country:US
Practice Address - Phone:610-876-9640
Practice Address - Fax:610-876-1881
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040489E207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011224740004Medicaid
1701986OtherECFMG
NJ5540607Medicaid
1701986OtherECFMG
PA0011224740004Medicaid