National Provider Identifier

Gangadhara R Kabbli, MD

Gangadhara R Kabbli, MD is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Pine City, NY and a listed phone number of (607) 734-6281.

NPI 1841337672Pine City, NYCardiovascular Disease Physician

Profile Overview

NPI
1841337672
Provider Type
Individual
Primary Specialty
Cardiovascular Disease Physician
Enumeration Date
January 31, 2007
Last Updated
July 31, 2018

Practice Location

  • 1243 Pennsylvania Ave
  • Pine City, NY 14871

Phone: (607) 734-6281

Mailing Address

  • 1 Guthrie Sq
  • Sayre, PA 18840-1625

Specialties

  • Cardiovascular Disease Physician (207RC0000X)
  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1841337672
Entity Type
Individual
Last Name
Kabbli
First Name
Gangadhara
Middle Name
R
Credential
MD
Mailing Street Address
1 Guthrie Sq
Mailing City
Sayre
Mailing State
PA
Mailing ZIP Code
18840-1625
Mailing Country
US
Mailing Phone
(570) 888-5858
Practice Street Address
1243 Pennsylvania Ave
Practice City
Pine City
Practice State
NY
Practice ZIP Code
14871
Practice Country
US
Practice Phone
(607) 734-6281
Practice Fax
(607) 734-4409
Enumeration Date
January 31, 2007
Last Updated
July 31, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Cardiovascular Disease Physician (207RC0000X), Internal Medicine Physician (207R00000X)
Other Identifiers
1032498220002 (PA), 03397880 (NY)