Provider Demographics
NPI:1174942866
Name:CALHOUN, GABRIELA ANDRADE (MD)
Entity type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:ANDRADE
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GABRIELA
Other - Middle Name:ANDRADE
Other - Last Name:CALHOUN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:92 BRICK MILL RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-5160
Mailing Address - Country:US
Mailing Address - Phone:804-305-5046
Mailing Address - Fax:
Practice Address - Street 1:8 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3925
Practice Address - Country:US
Practice Address - Phone:603-281-6503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-10
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA284219207L00000X
DCMD046594207L00000X
DCMTL 002010390200000X
NH21424207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program