Pawan Gundavaram
Internal Medicine, Hematology & Oncology in Roselle, New Jersey
1174717300- Practice location
- 776 E 3RD Ave, Roselle, NJ 07203-1698
- Phone
- 908-259-8817
- Fax
- 908-259-8846
- Last updated
- February 28, 2020
Pawan Gundavaram is an Internal Medicine, Hematology & Oncology based in Roselle, NJ. Pawan Gundavaram practices in Roselle, NJ. The NPI Number for Pawan Gundavaram is 1174717300 and holds a License No. MA2509079300 (NJ). The current practice location address for Pawan Gundavaram is 776 E 3RD Ave, Roselle, NJ 07203-1698 and can be reached out via phone at 908-259-8817 and via fax at 908-259-8846.
Provider Profile Details
- NPI Number
- 1174717300
- Provider Name
- Pawan Gundavaram
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 776 E 3RD Ave, Roselle, NJ 07203-1698
- Phone Number
- 908-259-8817
- Fax Number
- 908-259-8846
- Primary Taxonomy
- Internal Medicine, Hematology & Oncology · 207RH0003X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 30, 2007
- Last Update Date
- February 28, 2020
- Certification Date
- February 28, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 776 E 3RD Ave
Roselle, NJ 07203-1698 - City
- Roselle
- State
- New Jersey
- Zip
- 07203-1698
- Phone Number
- 908-259-8817
- Fax Number
- 908-259-8846
Provider Business Mailing Address Details
- Address
- 1 Clara Maass Dr Ste 200
Belleville, NJ 07109-3550 - City
- Belleville
- State
- NJ
- Zip
- 07109-3550
- Phone Number
- 973-751-8880
- Fax Number
- 973-751-8950
License Information
- License Number
- MA2509079300
- License State
- NJ
- Taxonomy
- Internal Medicine, Hematology & Oncology · 207RH0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Hematology & Oncology providers near Roselle, NJ
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- Ellioth Fishkin MD LLCInternal Medicine, Hematology & Oncology · NPI 1497823645
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Frequently Asked Questions
What is the NPI number of Pawan Gundavaram?
The NPI number of Pawan Gundavaram is 1174717300. It was assigned on August 30, 2007 and is currently active in the NPPES registry.
What is the specialty of Pawan Gundavaram?
Pawan Gundavaram is registered under the primary taxonomy Internal Medicine, Hematology & Oncology (code 207RH0003X), licensed in NJ under license number MA2509079300.
Where does Pawan Gundavaram practice?
The practice location is 776 E 3RD Ave, Roselle, NJ 07203-1698. The office can be reached at 908-259-8817 (phone) or 908-259-8846 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174717300 directly on the NPPES registry website.