Organization
GASTROHEALTH MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAGHAV BANSAL M.D. (PRESIDENT)
(347) 738-5700
Entity
Organization
Contact information
Practice address
7134 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-6137
(347) 738-5700
Mailing address
63 CRESTHOLLOW LN, ALBERTSON, NY 11507-1046
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04816377
—
NY
Enumeration date
07/05/2017
Last updated
08/16/2024
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