Provider Demographics
NPI:1780645580
Name:OBERLENDER, GARY H (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:H
Last Name:OBERLENDER
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 1:7448 LAWRENCE LN SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-5526
Mailing Address - Country:US
Mailing Address - Phone:540-529-7566
Mailing Address - Fax:
Practice Address - Street 1:7448 LAWRENCE LN SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-5526
Practice Address - Country:US
Practice Address - Phone:540-529-7566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101033233207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine