Basic Information
Provider Information
NPI: 1063626653
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GAUHAR
FirstName: UMAIR
MiddleName: AHMAD
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 550 S. JACKSON STREET, ACB A3R40
Address2: UNIVERSITY OF LOUISVILLE, DIVISION OF PULMONARY
City: LOUISVILLE
State: KY
PostalCode: 40202
CountryCode: US
TelephoneNumber: 5028525841
FaxNumber: 5028521359
Practice Location
Address1: 550 S JACKSON ST # A3R40
Address2: UNIVERSITY OF LOUISVILLE, DIVISION OF PULMONARY MED
City: LOUISVILLE
State: KY
PostalCode: 402021622
CountryCode: US
TelephoneNumber: 5028525841
FaxNumber: 5028521359
Other Information
ProviderEnumerationDate: 05/10/2007
LastUpdateDate: 01/23/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/23/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X35.097668OHY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200X45537KYN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

ID Information
IDTypeStateIssuerDescription
005021405OH MEDICAID


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