Provider Demographics
NPI:1437131323
Name:SAHNI, GUNJEET MANDVI (MD)
Entity type:Individual
Prefix:
First Name:GUNJEET
Middle Name:MANDVI
Last Name:SAHNI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4675 ISELIN AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3321
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:46 FORT WASHINGTON AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-4788
Practice Address - Country:US
Practice Address - Phone:212-568-8376
Practice Address - Fax:212-568-8593
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229087208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02598070Medicaid
NY02598070Medicaid
NYI28457Medicare UPIN