Individual
MR. INDRAVADAN SAKARLAL GATIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
785 OAKRIDGE BLVD, LUMBERTON, NC 28358-2325
(910) 739-2343
(910) 739-2338
Mailing address
785 OAKRIDGE BLVD, LUMBERTON, NC 28358-2325
(910) 739-2343
(910) 739-2338
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
009600919
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8934955
—
NC
Enumeration date
06/30/2005
Last updated
02/24/2015
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