Provider Demographics
NPI:1295968816
Name:GEHANI, KIREN (DDS)
Entity type:Individual
Prefix:DR
First Name:KIREN
Middle Name:
Last Name:GEHANI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 82ND ST
Mailing Address - Street 2:1F
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-5159
Mailing Address - Country:US
Mailing Address - Phone:718-639-0192
Mailing Address - Fax:718-639-8122
Practice Address - Street 1:3540 82ND ST
Practice Address - Street 2:1F
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-5159
Practice Address - Country:US
Practice Address - Phone:718-639-0192
Practice Address - Fax:718-639-8122
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-30
Last Update Date:2009-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY50 0521391223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics