1518126473 NPI number — GATUS-PHARMA LLC

Table of content: ABHAY SINGH MD, MPH (NPI 1659789634)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518126473 NPI number — GATUS-PHARMA LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GATUS-PHARMA LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518126473
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/19/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3030 E SEMORAN BLVD
Provider Second Line Business Mailing Address:
SUITE 164
Provider Business Mailing Address City Name:
APOPKA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32703-5952
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-774-1957
Provider Business Mailing Address Fax Number:
407-774-1734

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3030 E SEMORAN BLVD
Provider Second Line Business Practice Location Address:
SUITE 164
Provider Business Practice Location Address City Name:
APOPKA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32703-5952
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-774-1957
Provider Business Practice Location Address Fax Number:
407-774-1734
Provider Enumeration Date:
06/05/2008

Additional Information

Authorized Official

Authorized Official Last Name:
APPIAHENE
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
KOFI
Authorized Official Title or Position:
OWNER/PHARMACIST
Authorized Official Telephone Number:
407-774-1957

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1036563 . This is a "NCPDP #" identifier . This identifiers is of the category "OTHER".




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