Gandotra, Susheer
Gandotra, Susheer is an individual health care provider with primary practice located at 175 E Brown St Suite 114, East Stroudsburg PA 18301-3098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Gandotra, Susheer can be contacted via phone (570) 426-2301.Contact Information
Primary practice address
175 E Brown St Suite 114
East Stroudsburg PA 18301-3098
Phone: (570) 426-2301
Fax: (570) 426-2306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | C1-0008498 | Delaware |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD435097 | Pennsylvania |
Profile Details
| NPI number | 1083663694 |
|---|---|
| LBN Legal business name | Gandotra, Susheer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Dec 29th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083663694 | NPPES |
| Delaware | Other | 1083663694 | NPI |
| Delaware | MEDICAID | 1021961250001 | NPI |
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