Provider Demographics
NPI:1083034581
Name:GOBER, RACHEL KLEINERMAN (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:KLEINERMAN
Last Name:GOBER
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 1:1300 S MIAMI AVE UNIT 1801
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-4474
Mailing Address - Country:US
Mailing Address - Phone:646-573-7292
Mailing Address - Fax:
Practice Address - Street 1:430 E 57TH ST
Practice Address - Street 2:APARTMENT 11D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3061
Practice Address - Country:US
Practice Address - Phone:646-573-7292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2018-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME131821207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program