Provider Demographics
NPI:1982945721
Name:TELWAR, GULGOTAY (PHARM D)
Entity Type:Individual
Prefix:
First Name:GULGOTAY
Middle Name:
Last Name:TELWAR
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5021 CAMBRON DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-4201
Mailing Address - Country:US
Mailing Address - Phone:615-403-3980
Mailing Address - Fax:
Practice Address - Street 1:5021 CAMBRON DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-4201
Practice Address - Country:US
Practice Address - Phone:615-403-3980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000037091183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist