Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD464148 | PA |
N | 111NI0900X | Internist | MD464148 | PA |
NPI | 1003171810 |
---|---|
Provider Name | Ashokkumar H Gaba |
First Address | Williamsport, PA 17701-1900 |
Second Address | Williamsport, PA 17701-3100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2012 |
Last Update Date | 12/06/2019 |