Individual
ABHILASH GAZULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
47 NEW SCOTLAND AVENUE, DEPT. OF PEDIATRICS, ALBANY, NY 12208
(518) 262-5626
Mailing address
47 NEW SCOTLAND AVENUE, DEPT. OF PEDIATRICS, ALBANY, NY 12208
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
64449
NY
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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