Provider Demographics
NPI:1740035989
Name:CHADHA, GUNJAN (MD)
Entity type:Individual
Prefix:
First Name:GUNJAN
Middle Name:
Last Name:CHADHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3234 LIBERTY AVE
Mailing Address - Street 2:UNITE 360
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201
Mailing Address - Country:US
Mailing Address - Phone:412-588-3164
Mailing Address - Fax:
Practice Address - Street 1:UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Practice Address - Street 2:4401 PENN AVENUE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224
Practice Address - Country:US
Practice Address - Phone:412-538-3164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2025-01-15
Deactivation Date:2024-12-19
Deactivation Code:
Reactivation Date:2025-01-15
Provider Licenses
StateLicense IDTaxonomies
390200000X
PALT001009390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program