Provider Demographics
NPI:1740660992
Name:GALA, NIHAR (MD)
Entity type:Individual
Prefix:DR
First Name:NIHAR
Middle Name:
Last Name:GALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 MIDWAY DR STE 3
Mailing Address - Street 2:
Mailing Address - City:HARRINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19952-2448
Mailing Address - Country:US
Mailing Address - Phone:800-818-8680
Mailing Address - Fax:800-818-8680
Practice Address - Street 1:1000 MIDWAY DR STE 3
Practice Address - Street 2:
Practice Address - City:HARRINGTON
Practice Address - State:DE
Practice Address - Zip Code:19952-2448
Practice Address - Country:US
Practice Address - Phone:800-818-8680
Practice Address - Fax:800-818-8680
Is Sole Proprietor?:No
Enumeration Date:2015-06-03
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0011360207LA0401X, 207R00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE200164129Medicaid
DE250027856Medicaid