Provider Demographics
NPI:1801380175
Name:GAMBHIR, SHEETAL
Entity Type:Individual
Prefix:
First Name:SHEETAL
Middle Name:
Last Name:GAMBHIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2084 HEADLAND DR
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-2135
Mailing Address - Country:US
Mailing Address - Phone:404-965-5691
Mailing Address - Fax:404-698-1478
Practice Address - Street 1:2084 HEADLAND DR
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-2135
Practice Address - Country:US
Practice Address - Phone:404-965-5691
Practice Address - Fax:404-698-1478
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-19
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA93928207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine