Provider Demographics
NPI:1811929029
Name:GACH, PETER H (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:H
Last Name:GACH
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 1:2825 N STATE ROAD 7
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5737
Mailing Address - Country:US
Mailing Address - Phone:954-968-3330
Mailing Address - Fax:954-968-3332
Practice Address - Street 1:2825 N STATE ROAD 7
Practice Address - Street 2:SUITE 202
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5737
Practice Address - Country:US
Practice Address - Phone:954-968-3330
Practice Address - Fax:954-968-3332
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME35398207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006715400Medicaid
FL006715400Medicaid
D21481Medicare UPIN