Provider Demographics
NPI:1659351138
Name:GULATI, RASHMI (MD)
Entity Type:Individual
Prefix:DR
First Name:RASHMI
Middle Name:
Last Name:GULATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E 78TH ST
Mailing Address - Street 2:16E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-1322
Mailing Address - Country:US
Mailing Address - Phone:212-794-1520
Mailing Address - Fax:212-794-8800
Practice Address - Street 1:800 2ND AVE
Practice Address - Street 2:900
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4709
Practice Address - Country:US
Practice Address - Phone:212-679-9667
Practice Address - Fax:212-679-9730
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228560207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02525964Medicaid
NY02525964Medicaid
213AL1Medicare ID - Type Unspecified