National Provider Identifier
Prabhakar R Gumbula, MD
Prabhakar R Gumbula, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Lockport, NY and a listed phone number of (716) 439-7400.
Profile Overview
- NPI
- 1790835411
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- January 12, 2007
- Last Updated
- July 08, 2007
Practice Location
- 5467 Upper Mountain Road
- Lockport, NY 14094-1895
Phone: (716) 439-7400
Mailing Address
- 5467 Upper Mountain Road
- Suite 200
- Lockport, NY 14094-1895
Specialties
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1790835411
- Entity Type
- Individual
- Last Name
- Gumbula
- First Name
- Prabhakar
- Middle Name
- R
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 5467 Upper Mountain Road
- Mailing Address Line 2
- Suite 200
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-1895
- Mailing Country
- US
- Mailing Phone
- (716) 439-7400
- Mailing Fax
- (716) 439-7521
- Practice Street Address
- 5467 Upper Mountain Road
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-1895
- Practice Country
- US
- Practice Phone
- (716) 439-7400
- Practice Fax
- (716) 439-7521
- Enumeration Date
- January 12, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)
- Other Identifiers
- 00052840001 (BCBS)