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

Pawan Gundavaram

Individual provider Hematology & Oncology Physician · NPI 1174717300

Pawan Gundavaram is a Hematology & Oncology Physician in Roselle, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007

Practice location Address checks out

776 E 3rd Ave
Roselle, NJ 07203-1698
Phone: (908) 259-8817
Fax: (908) 259-8846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence MA2509079300 (NJ)

Record details

NPI number1174717300
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2007
Last updated in NPPESFebruary 28, 2020
Certification dateFebruary 28, 2020
Mailing address1 Clara Maass Dr Ste 200, Belleville, NJ 07109-3550

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