Provider Demographics
NPI:1114053451
Name:GONZALES, URVI PAJVANI (MD)
Entity Type:Individual
Prefix:DR
First Name:URVI
Middle Name:PAJVANI
Last Name:GONZALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:110 MICHIGAN AVE NE
Mailing Address - Street 2:APT F33
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-1031
Mailing Address - Country:US
Mailing Address - Phone:773-744-9340
Mailing Address - Fax:
Practice Address - Street 1:1120 19TH ST NW
Practice Address - Street 2:SUITE 250
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-3605
Practice Address - Country:US
Practice Address - Phone:202-955-6995
Practice Address - Fax:202-955-3915
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125051643207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology