Provider Demographics
NPI:1548427719
Name:GAMBHIR, ISHITA ARYA (MD)
Entity Type:Individual
Prefix:DR
First Name:ISHITA
Middle Name:ARYA
Last Name:GAMBHIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3800 RESERVOIR RD NW
Mailing Address - Street 2:7-PHC DEPT OF NEUROLOGY
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-2333
Mailing Address - Fax:202-444-2186
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:7-PHC DEPT OF NEUROLOGY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-2333
Practice Address - Fax:202-444-2186
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
DCMD0395962084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program