Individual ProviderAbhilash GazulaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address47 New Scotland Avenue, Dept. Of Pediatrics, Albany, NY 12208(518) 262-5626PECOS EnrollmentBased on the most recent information from CMS, provider Abhilash Gazula does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1215515697Provider TypeIndividualFull NameGazula, AbhilashCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/29/2021Last Updated3/29/2021Contact InformationPractice LocationPractice Address47 New Scotland Avenue, Dept. Of Pediatrics, Albany, NY 12208Phone(518) 262-5626FaxUnlisted FaxMailing LocationMailing Address47 New Scotland Avenue, Dept. Of Pediatrics, Albany, NY 12208PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense64449New York