Kaistha, Abha

Kaistha, Abha is an individual health care provider with primary practice located at 160 E 32Nd St , New York NY 10016-6004. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Kaistha, Abha can be contacted via phone (212) 263-5407.

Contact Information

Primary practice address
160 E 32Nd St New York NY 10016-6004
Phone: (212) 263-5407
Fax: (212) 263-5417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 243111 New York
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 243111 New York

Profile Details

NPI number 1134104615
LBN Legal business name Kaistha, Abha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated May 29th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134104615 NPPES
New York MEDICAID 02183902

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