Provider Demographics
NPI:1457538464
Name:VOHRA, GAYATRI (DDS)
Entity Type:Individual
Prefix:MRS
First Name:GAYATRI
Middle Name:
Last Name:VOHRA
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 1:382 CENTRAL PARK W APT 7D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6031
Mailing Address - Country:US
Mailing Address - Phone:215-971-0042
Mailing Address - Fax:
Practice Address - Street 1:COLUMBIA DENTAL SCHOOL
Practice Address - Street 2:ENDODONTIC DEPT
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:215-971-0042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0537371223E0200X
PADS0370211223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics