National Provider Identifier Database

GANGADHARA R KABBLI, MD – NPI #1841337672
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

GANGADHARA R KABBLI, MD
1243 PENNSYLVANIA AVE
PINE CITY, NY14871
Phone: 607-734-6281
Fax: 607-734-4409
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for GANGADHARA R KABBLI

NPI Number 1841337672
Credentials MD
Entity Individual
Enumeration date 01/31/2007
Last updated 07/31/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 262909
  • NY Medicaid: 03397880
  • PA Medicaid: 1032498220002
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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