Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 1762401 | NY |
NPI | 1811986458 |
---|---|
Provider Name | Anup R Gheewala |
First Address | Brooklyn, NY 11235-3170 |
Second Address | Brooklyn, NY 11235-3170 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2005 |
Last Update Date | 08/04/2010 |