Provider Demographics
NPI:1780655829
Name:KIEFER, GAURI J (MD)
Entity Type:Individual
Prefix:
First Name:GAURI
Middle Name:J
Last Name:KIEFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 VILLAGE DR STE E
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3783
Mailing Address - Country:US
Mailing Address - Phone:724-838-1900
Mailing Address - Fax:724-838-5620
Practice Address - Street 1:200 VILLAGE DR STE E
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3783
Practice Address - Country:US
Practice Address - Phone:724-838-1900
Practice Address - Fax:724-838-5620
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD055420L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001548329Medicaid
PAG06562Medicare UPIN