Gaps Health Or PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GAPS HEALTH OR PC

Practice address

780 Commercial St SE Ste 100
Salem, OR 97301-3465

Phone

(503) 588-5767

NPI assigned

Nov 15, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nitish Kosaraju, MD

Title

Physician

Phone

(832) 628-9774

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1285279042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208003",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 COMMERCIAL ST SE STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013465",
            "telephone_number": "503-588-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAPS HEALTH OR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "KOSARAJU",
        "authorized_official_first_name": "NITISH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-628-9774",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Ganahl, PTA
• Kejal Divyeshbhai Gandhi, MD
• Harminder Pal Singh Gandhok, M.D.
• Myint Ganeshalingam, M.D.
• Stephanie Michelle Gangi, LMT
• Charlene Garbutt
• Octavio Garcia Barba, PHYSICIAN ASSISTANT
• Kimberly Brigitte Garcia-Blas
• Albertina Garcia
• Alma Garcia, CADC

• Internal Medicine Physician in Salem, OR
• Providers in Salem, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.