NPI

Grishma Bambhroliya

NPI 1588059513

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
MD
Type
Individual
Enumeration date
2015-04-07
Last updated
2025-09-15

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Specialties

Licenses

License PA
MD471263
License NJ
25MA10381200
License MD
D0104103
License DE
C1-0028355

Location

Practice location
1000 E Mountain Blvd
City
Wilkes Barre PA
Postal code
18711-0027
Phone
(570) 808-7399

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Wilkes Barre, PA. 3,152 records in the public file.

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