Rajan Gulati Physician PC

Key facts

NPI

1609995455

Entity type

Organization (NPI type 2)

Primary specialty

Internal Medicine Physician 207R00000X

License

1416581 (NY)

Legal business name

RAJAN GULATI PHYSICIAN PC

Practice address

45 West Main Street
Cuba, NY 14727-1403

Phone

(585) 968-1628

Fax

(585) 968-0019

NPI assigned

Mar 29, 2007

Organization subpart

No

Authorized official

Name

Dr. Rajan Gulati, MD

Title

Owner

Phone

(585) 968-1628

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 16, 2015.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1609995455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WEST MAIN STREET",
            "city": "CUBA",
            "state": "NY",
            "postal_code": "147271403",
            "telephone_number": "585-968-1628",
            "fax_number": "585-968-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WEST MAIN STREET",
            "city": "CUBA",
            "state": "NY",
            "postal_code": "147271403",
            "telephone_number": "585-968-1628",
            "fax_number": "585-968-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJAN GULATI PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "GULATI",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-968-1628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1416581",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "1416581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00732825",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Cuba, NY · Internal Medicine Physician in New York