Provider Demographics
NPI:1750322533
Name:GADRE, ARUN K (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:K
Last Name:GADRE
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 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-5700
Practice Address - Country:US
Practice Address - Phone:570-271-6429
Practice Address - Fax:570-271-6854
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY40581207Y00000X, 207YX0901X
PAMD465358207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100006270Medicaid
KY50013897OtherPASSPORT
IN200863690Medicaid
KYF79284Medicare UPIN
KY50013897OtherPASSPORT