Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edgar Bonchita Gantalao, MD

Individual provider Psychiatry Physician · NPI 1649200411

Edgar Bonchita Gantalao, MD is a Psychiatry in Du Bois, Pennsylvania. Qualified in 1980, 46 years ago. Practices with Dubois Regional Medical Center, a 422-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
46
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

635 Maple Ave
Du Bois, PA 15801-2376
Phone: (814) 375-6379
Fax: (814) 375-9320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD418498 (PA)

Record details

NPI number1649200411
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESSeptember 6, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Dubois Regional Medical Center — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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